Healthcare News
Articles, Jobs and Consultants for the Healthcare Professional
Home      View Jobs     Post Jobs     Library     Advertise     Plan Financials     About     Subscribe     Contact    

Director of Population Health Management, Bakersfield, CA


Organization: Kern Health Systems
Category: Director
Location: Bakersfield, CA
Date Job Posted: July 6, 2021
Share with Others:


Apply Here

Director of Population Health Management

Kern Family Health Care, 2900 Buck Owens Blvd., Bakersfield, California, United States of America Req #1595

We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will help us potentially place you in a position that meets your objectives and those of the organization. Qualified applicants are considered for positions without regard to race, color, religion, sex (including pregnancy, childbirth and breastfeeding, or any related medical conditions), national origin, ancestry, age, marital or veteran status, sexual orientation, gender identity, genetic information, gender expression, military status, or the presence of a non-job related medical condition or disability (mental or physical).

Primary Purpose

Under the direction of the Chief Medical Officer (CMO) and Deputy Chief Medical Officer (DCMO), the Director of Population Health Management (PHM) is responsible for oversight of key medical affairs related to Population Health Management. The Director of Population Health Management serves as a member of the Health Services team and, with the DCMO, ensures that the Population Health program is aligned with Kern Health System’s strategic and operational priorities; and is compliant with DHCS and NCQA requirements.

This position is accountable in leading the areas assigned to next-level capabilities and operational efficiencies consistent with the strategic plan, goals, and objectives for Kern Health Systems (KHS).

Position has the responsibility to anticipate, continuously improve, communicate, and leverage resources as they relate to Population Health. Working collaboratively with the DCMO, this position identifies, develops, and implements strategic Population Health programs that support Kern Health System’s vision and short-and-long term goals specific to health outcomes of members with chronic diseases and identified Social Determinants of Health (SDoH).

Distinguishing Characteristics

  • Accountable for strategy, deployment, systems and workflow development, ongoing operational compliance, and consistent delivery of results and metrics in the areas of oversight Consistent operational compliance and reporting to satisfy and exceed state and federal standards;
  • Identifies, develops, and implements best practices for Population Health programs
  • Accountable for budget planning and adherence;
  • Communicates, coordinates and monitors organization-wide quality and population health initiatives amongst medical affairs and other KHS departments, health networks, and outside stakeholders;
  • Annually develops and/or revises the PHM program, including but not limited to, its evaluation and work plan, the policies and procedures for Medi-Cal and Medicare and present for review and approval;
  • Identifies opportunities to strengthen community partnerships to focus efforts on mutual goals and align resources to achieve specific outcomes;
  • Leads key strategic and transformative initiatives around Population Health and SDoH;
  • Collaborates at a leadership level within a context of a multidisciplinary team of both internal and external stakeholders, identifies opportunities to enhance member outcomes through collaborative initiatives that address gaps in care;
  • Represents KHS in the community and acts as a leadership liaison to address clinical system issues or concerns related to strategic initiatives around Population Health and SDoH;
  • Partners with and builds a network of community partnerships and aligning efforts to “bridge” programs;
  • Prepares, submits, and presents various presentations to all levels of the organization, including various committees, Board of Directors, and other community organizations to advance specific Population Health and SDoH strategies;
  • Identifies strategic opportunities to strengthen community partnerships to focus efforts on mutual goals and align resources to achieve specific health outcomes;
  • Analyzes outcomes and data to implement strategic changes in health care practice related to chronic disease and SDoH, including severe mental health and drug and alcohol abuse initiatives;
  • Directs and supervises Population Health staff, and serves as a support resource to community; partners and stakeholders regarding strategic efforts around Population Health and SDoH in Kern County;
  • Lead process improvement activities related to Population Health and SDoH;
  • Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for working with data to answer important questions about population health that drive the Quadruple Aim;
  • Strong working knowledge of quantitative and qualitative analytic methodologies, advanced analytics and statistics;
  • Excellent communication and facilitation skills with project team members, stakeholders, executives, and external customer, exceptional written and oral presentation skills, proven ability to communicate interpersonally and technically with technical and non-technical, and internal and external audiences.
  • Healthcare industry expertise and experience, knowledge about the shifting healthcare environment including trends concerning health insurance, healthcare delivery, provider relationships and regulatory issues;
  • Demonstrated ability to lead matrixed teams of technical, clinical, administrative, financial and operational staff to achieve shared organizational objectives and strategic goals;

Supervises Yes

Essential Functions

  • Perform management responsibilities to include but are not limited to involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity;
  • Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority;
  • Collaborate effectively with clinical, administrative, operational, financial, and technical stakeholders to ensure analytics identify actionable improvement opportunities and are aligned with execution of organizational strategic priorities, plans and resources;
  • Facilitate the creation of analyses, metrics and reports that support the evaluation of outcome measures using all available clinical, member financial and administrative data;
  • Collaborates with the analytics teams to develop analyses, metrics and reporting to monitor strategic and operational goal progress and delivers focused and actionable reporting to internal and external Stakeholders;
  • Partner with clinical, administrative, financial, and technical leaders to provide thought leadership and strategic thinking for the structure of analytics initiatives for population health through demonstrating both expertise and execution with robust analysis and clinical and financial data integration;
  • Demonstrated excellence in people process management;
  • Demonstrated relationship management skills with internal and external partners; strong client and consultant facing skills;
  • Experience in managed care, public health, or other clinical/medical background in healthcare that is relevant to the Medicaid population;
  • Experience leading performance improvement initiatives and teams: track record in making data driven decisions and implementing successful operational improvements. Demonstrated experience in developing innovative clinical approaches to address the needs of a population.
  • Supervisory experience: strong orientation to teamwork;
  • Other duties as assigned or requested;

Core Competencies/Knowledge & Skill Requirement

  • Accountability - Ability to accept responsibility and account for his/her actions;
  • Honesty / Integrity - Ability to be truthful and be seen as credible in the workplace;
  • Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type;
  • Management Skills - Ability to organize and direct oneself and effectively supervise others;
  • Business Acumen - Ability to grasp and understand business concepts and issues;
  • Adaptability - Ability to adapt to change in the workplace;
  • Customer Oriented - Ability to take care of the customers’ needs while following company procedures;
  • Analytical Skills - Ability to use thinking and reasoning to solve complex problems
  • Problem Solving - Ability to find a solution for or to deal proactively with work-related problems;
  • Coaching and Development - Ability to provide guidance and feedback to help others strengthen specific knowledge/skill areas;
  • Communication, Written - Ability to communicate in writing clearly and concisely;
  • Communication, Oral - Ability to communicate effectively with others using the spoken word;
  • Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards;
  • Judgment - The ability to formulate a sound decision using the available information;

Employment Standards

Education:

  • Master’s degree in Health administration, Nursing, Public Health, Business Administration or Medical informatics from an accredited institution or equivalent;
  • Clinical License such as: Nurse Practitioner, Physician Assistant, RN, LCSW, Clinical Pharmacist or Clinical psychologist;

Experience:

  • Minimum of Seven (7) years of progressive responsibility of leading and managing analytics teams and providing support to senior and executive leadership;
  • Five (5) years of Management and/or Leadership to include: Five (5) years of Business Intelligence, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data AND; Five (5) years of Project Leadership in a complex, matrixed environment (payer and/or provider preferred)

Knowledge of:

  • Strong knowledge of MS programs e.g. Word, Excel, Access, PowerPoint, and Visio
  • Experience with Population Health Management, including data analytics
  • Strong background in program implementation

Other

  • Possession of valid California Driver’s License and proof of valid State required auto liability insurance. Required travel up to 20 %
  • Bilingual (English/Spanish) preferred

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis.

Apply Here


See above

See above

See above