Associate Director of Population Health at Partnership HealthPlan of California

Population Health Manager

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 Partnership 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

Bachelor's degree required, RN license 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.

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 Partnerships policies are required to operate a vehicle and travel for company business.

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.

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.

$156,741.30 - $203,763.69

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.