Job Details |
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| Population Health Manager - Hybrid Remote | |
| Job ID: | 00004HHK |
| Category: | MedicalDental |
| Location: | CA Santa Barbara |
| Hours: | 40 Monday to Friday 8am to 5pm |
| Pay: | $98,951.00 $126,162.00 |
| Hybrid Remote Opportunity Available | |
| Job Description At the direction of the Director of Quality, the Population Health Manager is responsible for the daily operations and functions of population health, clinical quality, and health promotion, including personnel oversight and mentorship. In coordination and collaboration with the Director of Quality, support the execution and implementation of a Population Health and Quality Strategy to achieve health equity. The position has direct oversight of the Clinical Quality, Population Health, and Health Promotion teams, and is responsible for organizing, motivating, leading and coordinating team members. Provide day-to-day management and oversight of Population Health Management and Quality Program to improve population health, mitigate the negative impacts of social determinants of health, and achieve health equity. In collaboration with Director of Quality, coordinates and implement Population Health and Health Equity Strategy across departments as needed to ensure compliance with NCQA Accreditation standards. Implements, maintains, and coordinates the plan wide review, update and continual improvement of Quality Improvement System, to maximize managed care effectiveness and compliance readiness with respect to applicable DHCS, DMHC, CMS, and NCQA requirements. Initiates and advances partnerships with contracted providers to increase their adoption and engagement in strategic initiatives, including but not limited to Pay for Performance programs, to improve quality of care and achieve health equity. Engages providers in topic-specific Performance Improvement Projects and PDSAs to improve select aspects of care for populations in need of improvement. Develops and updates written department policies and procedures to ensure compliance with regulatory requirements e.g. DHCS Contract, NCQA accreditation. Supports the annual development of a Population Needs Assessment. Collaborates with contracted providers and community-based organizations to develop long-term relationships | |
| Skills Required BA Degree. Active RN or NP License with 2 yrs of exp as an RN or NP. Knowledge of Medi-CalMedicaid. 7 yrs exp in a manged care environment. 3 yrs of supervisory exp in similar. | |
| Skills Preferred MPH or MHA backgroundeducation. Population health background. | |