Sr Mgr Population Health RN

Job Summary
The Senior Manager, Population Health plays a pivotal role in our organization's mission to enhance the health and well-being of the employers we serve. This key position focuses on the development and execution of strategies to improve population health outcomes through data-driven initiatives and care coordination. Key responsibilities are (1) developing and maintaining departmental overview, programs, protocols, and processes; (2) ensuring NCQA standards are being followed within department; (3) managing clinical staff and overseeing managers/assistant managers in day-to-day operations for designated products and services under Communitas Care Management; (4) ensuring operational efficiencies to achieve production and revenue targets.

Essential Functions
The essential functions listed represent the major duties of this role, additional duties may be assigned.

• Strategic Planning: Lead the development, implementation, and monitoring of population health strategies to enhance employer member health. (10%)
• Client Management: Effectively manage client relationships and accountable for the specific employer program(s) performance, administration and operations (20%)
• Data Analysis: Utilize data analytics tools to identify health trends, assess outcomes, and inform decision-making for population health programs. This includes, but not limited to, employer Performance Guarantees (15%)
• Budget Management: Manage budget allocations for programs, optimizing resource utilization. (10%)
• Quality Improvement: Ensuring department adheres with NCQA standards (10%)
• Team Performance: Develop departmental goals, build high performing teams through hiring / termination, training, and development. This requires setting clear expectations, providing feedback and motivating employees to achieve goals. (15%)
• Innovation Management: Create, develop, and implement new ideas, products and programs within the organization (10%)
• Issue Management: Address and resolve concerns and issues presented by internal and external partners, and any escalated concerns/issues from clinical staff. Responsible for evaluating all current operations within their designated department(s) and determine potential efficiencies and implement appropriate changes. (10%)

Qualifications

• 6+ years related work experience.
• 3+ years direct supervisory/management experience
• Related Bachelor's degree required Nursing
• Current RN license required - Compact license required

Additional Preferred Qualifications

• Previous experience with Regulatory Compliance and/or URAC/NCQA accreditation is beneficial
• Previous Managerial level experience in a healthcare setting preferred
  

General Physical Demands
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

Physical/Environmental Activities
Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally

We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities.