Population Health Manager

We're Different. In a Good Way. You don’t have to choose between meaningful work and a supportive workplace. At Desert Sage Health Centers, you’ll be part of a team that values balance, respects your time, and works together to improve the health of our communities. Whether you’re early in your career or bringing experience, you’ll find purpose, stability, and a culture that genuinely takes care of its people. In our communities, coworkers and patients are often neighbors, friends, and family, and we treat each other accordingly. We’re known for reasonable schedules, a collaborative team environment, and a commitment to continuous improvement.

About the role

Responsible for improving team-based care through oversight and continuous improvement of Desert Sage Health Center’s (DSHC) population health, care management, care coordination, and related ancillary services. This position will support and enhance collaboration among providers, clinical support staff, administrative staff, and the care coordination/care management/outreach teams. The Population Health Manager works collaboratively with other managers to implement defined workflows within and across departments to implement DSHC's population health strategies and initiatives.

Responsibilities

• Supervise and provide daily oversight and continuous improvement in workflows of the team members responsible for care coordination, care management, outreach, care gap closures, and other ancillary team functions.
• Implement relevant PCMH competencies and VBC transformation initiatives within care coordination, care management, and outreach programs.
• Develop and implement best practices and standard workflows for PCMH and population health objectives.
• Establish strong relationships with providers, clinical support staff, administrative staff, and leadership.
• Develop internal and external materials and communication plan to promote the activities of DSHC towards a population health model.
• Implement strategies to address social determinants of health and promote individualized care within our communities.
• Ensure programs and strategies of the population health team are financially sustainable, and work closely with Patient Accounts team on relevant billing procedures.
• Design work plans, workflows, and processes by which these programs would be managed.
• Develop and implement initiatives to improve performance against value-based contract metrics.
• Document key processes, work plans, and timelines associated with the development of population health interventions.
• Engage internal and external partners to monitor population health pilot activities, identify problems with work processes, and ensure strategic goals are met.
• Provide guidance to team members in developing evidence-based or promising practice clinical programs for specific patient populations.
• Report on progress of action plans, present outcomes to peers, the leadership team, and outside partners.
• Serve as the superuser of population health software, and coach team members to optimize its use to support population health objectives.
• Work collaboratively with the Quality & Development Director to ensure a timely, accurate, and actionable data strategy for evaluation of PCMH and VBC outcomes and effectiveness.
• Comply with all payer and regulatory requirements associated with population health.
• Responsible for additional population health management tasks and initiatives defined by management.
• Demonstrate DSHC’s 5 core values and specific valued behaviors on a daily basis.

Requirements

• Bachelor's degree in a health-related discipline or equivalent combination of education and experience; master's degree preferred.
• PMP credential or demonstrated project management experience.
• Demonstrated change management and/or process improvement expertise; lean experience a plus but not required.
• Basic working knowledge in any of the following areas: Medicare advantage, Medicare Shared Savings Program (MSSP), Medicaid programs, managed care regulations, quality reporting, care management, population management, ACO strategy implementation and operations, and supporting providers in risk-based contracts.
• Strategic and entrepreneurial outlook with strong collaboration skills.
• Demonstrated understanding of healthcare metrics and use of analytical skills.
• Excellent presentation skills.
• Experience using Microsoft Excel.

Benefits

• Competitive benefits package for full-time employees, including medical, dental, and life insurance.
• 10 paid holidays.
• Retirement plan.
• Loan repayment for some roles.
• Paid time off.