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West Virginia University Health System is seeking a Population Health Program Manager to oversee the financial, operational, and human resources of assigned population health initiatives. You will partner with health system and community partners and align with Population Health leadership to ensure program continuity.
Ideal candidates have 3+ years in program management or population health, with experience managing grant-funded programs; PMP credential is preferred.
Manages, coordinates, and evaluates the financial, operational, and human resources of assigned population health program(s), including grant-funded, payer-partnered, and health system-sponsored initiatives, in accordance with the service and missions of the institution. Serves as the program's primary point of contact to the health system and its clinic, payer, and community partners. Will work closely with Population Health leaders to ensure program alignment and team continuity.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
EXPERIENCE:
Three (3) years of program management, care coordination, or population health experience.
Experience managing grant-funded programs.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
Oversees the daily operations of assigned program(s) to ensure services are delivered consistently, efficiently, and in alignment with program goals.
Monitors and ensures compliance with all requirements of grant-funded programs, including scope of work, deliverables, timelines, allowable expenses, data collection, and funder reporting.
Prepares and submits required reports to funders, payer partners, and health system leadership.
Ensures program activities comply with applicable federal, state, and payer regulations, accreditation standards, and health system policies, and maintains audit-ready program documentation.
Establishes workflows for new programs, including patient identification, enrollment, service delivery, documentation, escalation, and program completion.
Monitors existing workflows through data review, audits, and staff feedback, and leads improvement efforts to address gaps and inefficiencies.
Establishes and tracks program performance measures, such as enrollment, engagement, utilization, quality, and financial outcomes, and reports results to the Director.
Integrates other health system and community resources into the care provided within the program, including primary care, specialty care, behavioral health, pharmacy, social work, and community-based organizations.
Develops referral pathways and handoff processes between the program and other care teams to support coordinated, non-duplicative patient care.
Engages and partners with clinics, providers, and payer partners to identify eligible patients and enroll them in the program.
Educates clinic staff, providers, and partners on program services, eligibility, and referral processes.
Serves as the point person for the program to the health system, representing the program in meetings, committees, and cross-departmental initiatives.
Researches and identifies opportunities for the program as a whole, including funding sources, grants, payer partnerships, service expansion, and evidence-based practices, and contributes to proposals and grant applications.
Assists with the recruitment, interviewing, and hiring of program staff.
Leads the orientation and onboarding of new employees working within the program, including program-specific training and competency validation.
Maintains effective communication with managers, medical staff, staff, and partner organizations to identify problems and provide timely resolution in support of the health system's mission of quality patient care delivery.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
SKILLS AND ABILITIES:
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Exempt)
Company:
SYSTEM West Virginia University Health System
Cost Center:
415 POPH Population Health Management