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Remote Population Health information

What is a remote population health?

A Remote Population Health job focuses on analyzing health data, developing strategies, and implementing programs to improve health outcomes for specific populations—all from a remote setting. Professionals in this role may work with healthcare organizations, insurance companies, or public health agencies to track health trends, address disparities, and promote preventive care. They often use data analytics, telehealth solutions, and policy recommendations to support community health initiatives. This position typically requires expertise in public health, healthcare management, or data analysis, along with strong communication and collaboration skills.

What are the key skills and qualifications needed to thrive in remote population health?

To thrive in a Remote Population Health role, you need a background in public health, epidemiology, nursing, or a related healthcare field, along with experience in analyzing population health data. Familiarity with healthcare data analytics tools, electronic health records (EHR), and value-based care platforms is typically required, and certifications such as Certified in Public Health (CPH) can be advantageous. Strong communication, critical thinking, and self-motivation are essential soft skills, especially for managing projects and stakeholders remotely. These abilities are vital for designing, implementing, and evaluating health interventions that improve outcomes for specific populations while collaborating effectively in a virtual environment.

What are some common challenges faced when working in remote population health?

A major challenge in remote population health work is ensuring effective communication and collaboration with cross-functional teams, including clinicians, data analysts, and healthcare administrators, while working outside a traditional office setting. Managing large datasets and translating analytical insights into actionable health interventions can also be complex, especially when relying on digital tools and virtual meetings. However, many organizations support remote employees through robust collaboration platforms and regular check-ins to maintain alignment and foster a sense of teamwork. Adapting to these dynamics is crucial for successfully implementing programs that improve community health outcomes.

What are popular job titles related to Remote Population Health jobs in Needham, MA?

For Remote Population Health jobs in Needham, MA, the most frequently searched job titles are:

What job categories do people searching Remote Population Health jobs in Needham, MA look for?

The top searched job categories for Remote Population Health jobs in Needham, MA are:

What cities near Needham, MA are hiring for Remote Population Health jobs?

Cities near Needham, MA with the most Remote Population Health job openings:

Remote Population Health jobs near you

Senior Medical Director, Health Plan

Massgeneralbrigham

Somerville, MA • Remote

Full-time

Posted 18 days ago

Job description

Site: Mass General Brigham Health Plan Holding Company, Inc.


Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.


Job Summary

The Senior Medical Director serves as a key clinical executive within the health plan, providing strategic leadership, medical oversight, and clinical expertise to ensure highquality, costeffective care for members. This role partners closely with executive leadership, clinical operations, network management, quality, and compliance teams to shape clinical strategy, guide utilization management, and support valuebased care initiatives. The Senior Medical Director represents the health plan externally with providers, regulators, and community partners.
Does this position require Patient Care?
Yes


Qualifications

Essential Function:

  • Develop and execute clinical strategies that improve member outcomes, reduce unnecessary utilization, and support organizational goals and provide medical expertise to guide benefit design, population health programs, and valuebased care models.
  • Serve as a clinical advisor to senior executives and crossfunctional teams.
  • Oversee utilization management (UM) programs, ensuring evidencebased, timely, and compliant decisionmaking.
  • Review complex or escalated cases, appeals, and grievances, and ensure UM policies align with regulatory requirements, accreditation standards, and clinical best practices.
  • Lead quality improvement initiatives, including HEDIS, Stars, NCQA, and other performance programs, and partner with analytics teams to identify trends in utilization, quality, and member health outcomes.
  • Support the development of population health programs targeting chronic disease management, behavioral health, and social determinants of health.
  • Collaborate with provider network teams to improve clinical performance, reduce variation, and support valuebased contracting, and engage with physicians and health systems to promote evidencebased care and address performance issues.
  • Represent the health plan in provider forums, committees, and external meetings.
  • Ensure clinical programs comply with federal and state regulations, accreditation standards, and internal policies, and participate in audits, regulatory reviews, and accreditation activities.
  • Maintain uptodate knowledge of evolving healthcare regulations and clinical guidelines.
  • Partner with behavioral health, pharmacy, care management, and social care teams to coordinate integrated care strategies.
  • Provide medical leadership for product development, member engagement initiatives, and clinical innovation projects, and support executive leadership with clinical insights for strategic planning and organizational decisionmaking.

Education:
Doctorate Related Field of Study required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Physician License. Must hold or be able to obtain a full active Massachusetts physician license.

Must have 3-5 years of Health Plan experience

  • Must have prior experience in utilization management, peer to peer discussions


Experience:
Clinical Experience 8-10+ years required and Experience in managed care, health plan, or population health leadership role 5-7 years required
Knowledge, Skills and Abilities:

  • Strategic thinking and clinical judgment
  • Executive communication and influence
  • Datadriven decisionmaking
  • Collaborative leadership
  • Regulatory and compliance awareness
  • Provider engagement and relationshipbuilding

Salary Range:

$320 - $350K (depending upon experience)


Additional Job Details (if applicable)


Remote Type

Remote


Work Location

399 Revolution Drive


Scheduled Weekly Hours

40


Employee Type

Regular


Work Shift

Day (United States of America)


EEO Statement:

8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.


Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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