POPULATION HEALTH MANAGER

About the role

The Population Health Manager leads NEMS' efforts to improve health outcomes across a diverse patient population through value-based care strategies and population health initiatives. This role oversees a team of Population Health Specialists and Outreach Coordinators and is responsible for leveraging data-driven insights to manage patient panels, reduce care gaps, and improve quality performance metrics.

Responsibilities

• Lead and mentor the Population Health team, providing guidance, support, and performance feedback.
• Foster a collaborative and accountable team environment to drive outreach initiatives aligned with value-based care goals and quality performance targets.
• Analyze population health and utilization data to identify trends, care gaps, and high-risk patient cohorts.
• Translate findings into actionable strategies to improve quality metrics and risk stratification.
• Prepare reports and present insights to executive and clinical leadership.
• Collaborate with clinical and administrative teams to develop, implement, and refine population health strategies that improve chronic disease management, preventive screening rates, and patient engagement, while supporting performance in value-based programs (e.g., HEDIS, Medicare Advantage, and Medi-Cal).
• Act as a liaison between departments, ensuring alignment of population health initiatives with clinical operations, care coordination, and quality improvement efforts.
• Facilitate regular meetings and discussions to support goal alignment.
• Track and report on key performance indicators (KPIs) related to population health, such as screening completion rates and access to preventive care.
• Monitor performance against benchmarks and adjust strategies to optimize results.
• Oversee outreach and care gap closure workflows to minimize workflow inefficiencies, ensure timely outreach, enhance patient care experience, improve patient engagement, and achieve optimal outreach outcomes.
• Ensure population health activities comply with FQHC guidelines and align with federal and state regulations.
• Promote best practices in population health management and care coordination.

Qualifications

• Bachelor’s degree in Public Health, Health Administration, Nursing, or a related field (Master’s preferred)
• 3-5 years of experience in population health, public health, or care coordination, preferably within an FQHC or community health setting
• Experience with data analysis and reporting; proficiency in population health management software and electronic health records (EHR) systems
• Strong leadership skills with experience managing teams and working collaboratively across departments
• Excellent communication and presentation skills with an ability to convey complex information to various stakeholders
• Demonstrated ability to prioritize, organize, and manage multiple projects effectively in a fast-paced environment
• Knowledge of federal and state health care regulations, FQHC guidelines, and population health best practices is a plus

Skills

• Fluency in English
• Bilingual in Chinese or Spanish is a plus

Benefits

This is an FLSA exempt position. This is an OSHA high-risk position.