Population Health Management Jobs (NOW HIRING)

Overview
Under the leadership of the Director of Population Health, manages and provides direction to the
Population Health team managers and supervisors to ensure Basic Population Health Management
activities are performed in compliance with DHCS and NCQA requirements. Participates in the
development, implementation, and maintenance of Population Health programs and achievement
of department goals and objectives in a fast paced, dynamic environment. Ensures compliance
with established operational criteria, NCQA, and DHCS Standards, and PHC policies and
procedures.
Responsibilities
• Provides day-to-day direction to Pop Health managers and supervisors to meet department
goals and objectives.
• Oversees team performance management, including onboarding activities, monthly
support cards, and annual performance evaluation process. Keeps Director apprised of
staff concerns and accomplishments, and provides feedback on performance evaluations.
• Coordinates activities with Health Equity, Quality, Member Services, Care Coordination,
and Pharmacy departments, along with Regional Leaders and Communications, to
identify, track, and monitor alignment for Population Health Management activities across
the organization.
• Collaborates with internal departmental leaders as well as cross-departmental leadership
to ensure regulatory compliance for DHCS and NCQA requirements, including mandatory
submissions and audits.
• Responsible for establishing and maintaining reports that analyze the efficacy of each
Population Health activity and producing a summary, at least annually or upon request,
that includes statistical reports of Population Health activities and impact.
• Develops and maintains knowledge base of Partnership benefits and Population Health
programs. Serves as a resource for staff, other departments, and external parties on how
Population Health programs serve organizational objectives.
• Actively participates in organizational meetings and goals; providing input where
appropriate and informing assigned team of what is learned or changed as a result of those
meetings.
• Ensures all departmental policies and procedures are updated at least annually, or as
needed, and presented to appropriate committees for review.
• Other duties as assigned.
Qualifications
Education and Experience
Bachelors degree required or Masters or Doctorate in Public Health
preferred. Minimum five (5) years of relevant experience in health care
operations; minimum three (3) years of management experience with
effective problem solving; or equivalent combination of education and
experience.
Special Skills, Licenses and Certifications
Current California Registered Nurse license preferred. Working
knowledge of Medi-Cal (DHCS) program and/or NCQA Health Plan
guidelines. Knowledge of and experience with Federal Medicaid
and/or California Medi-Cal programs preferred. Strong organizational
skills required. Computer literacy and proficiency. Valid California
Driver's License and proof of current automobile insurance compliant
with PHC's policies are required to operate a vehicle and travel for
company business.
Performance Based Competencies
Excellent written and verbal communication skills in English.
Demonstrated effective leadership and analytical skills. Effective oral
and written communication skills. Ability to work effectively across
departments and functions within the organization. Ability to manage
multiple concurrent projects and maintain a work pace appropriate to
the workload. Ability to assist individuals in recognizing and solving
problems. Excellent interpersonal skills.
Work Environment And Physical Demands
Ability to use a computer keyboard. Ability to prioritize workload and
initiate action to acquire needed information from professionals by
phone. Ability to function effectively with frequent interruptions and
direction from multiple team members. More than 50% of work time is
spent in front of a computer monitor. Must be able to lift, move, or carry
objects of varying size, weighing up to 10 lbs. Some travel required (up
to 25%) including occasional overnight.
All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan's policies and procedures, as they may from time to time be
  updated.

HIRING RANGE:
$156,741.30 - $203,763.69
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.