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.
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.
Education and Experience | Bachelors degree required or Masters or Doctorate in Public Health
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SpecialSkills,Licenses and Certifications | Current California Registered Nurse license preferred. Working
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PerformanceBasedCompetencies | Excellent written and verbal communication skills in English.
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Work Environment And Physical Demands | Ability to use a computer keyboard. Ability to prioritize workload and
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All HealthPlan employees are expected to:
HIRING RANGE:
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.