As the Population Health Program Manager, you will be responsible for developing, leading, and managing the Population Health Program to improve clinical health outcomes of PHC patients utilizing value-based reimbursement programs, care coordination, and patient engagement. You will work closely with an interdisciplinary team, including those from operations, quality, individual business units, and our external Accountable Care Organization network partners.
What You Will Do
Designs and plans the Population Health Program, incorporating value-based care (VBC) strategies, outcome deliverables, and evidence-based standards into services. Performs research for new scope or design opportunities. Assembles and engages cross-disciplinary work teams and key partnerships to innovate and update the Program. Builds the Program budget.
Utilizes health information technology applications to extract data for tracking, trending, and analyzing health center performance and quality care metrics, payer incentive programs, VBC contracts, Health Effectiveness Data and Information Set measures, and performance improvement initiatives. Maintains subject matter expertise in Health Information Technology applications related to population health and value-based care.
Monitors VBC and Accountable Care Organization participation requirements. Produces quality metric reports and datasets for internal customers to support improvement initiatives. Collects, organizes, edits, and distributes actionable data, which may include the use of data summary reports, dashboards, and other reporting tools to support VBC and population health agreements. Participates in network value-based care activities, committees, and training.
Develop program processes and reports in alignment with the PHC Way and utilize population management, patient empanelment, quality improvement, and Primary Care Medical Home standards. Maintains master process maps and workflow guidelines for all population health areas.
Implements the Program and oversees daily operations, including monitoring the budget, setting priorities, and coordinating activities. Engages team members to implement interventions and manage change in a manner that ensures Program goals are achieved.
Assesses and evaluates the Program to identify strengths and areas for improvement. Produces accurate and timely data, reporting, and program documentation. Uses a continuous improvement mindset to foster program growth.
Ensure the roles managing population health are effectively meeting the expectations of the Program, including requirements of health plans and PHC strategies including completion of various health plan/contract requirements, Annual Wellness Visits, Chronic Care Management, and other arrangements for programs related to Medicare and Medicaid.
Oversees the system-level standard work, guidelines, and data support of the Volunteer Physician Network, Ribbons of Hope, and other enabling service programs. Helps guide coworkers related to program requirements and workflows.
Manages chronic disease and high-risk patient tracking, ensuring patients are referred to appropriate levels of care management when appropriate.
Oversees patient recall strategies and supervises the Health Outreach Coordinator.
Partners with leadership and staff to identify educational opportunities. Develops and conducts training as needed for the program.
Qualifications You Need to Bring
Required
Bachelor's degree in a related field or equivalent combination of education and experience.
Two years of experience in the healthcare field.
Proficient knowledge of population health management.
Ability to read, analyze, and compute data and figures.
Effectively leads and influences others to work toward common goals.
Effective presentation and communication skills, written and verbal.
Efficiently uses a computer, including word processing, spreadsheet, presentation, and electronic health records software.
Demonstrates attention to detail in work.
Organizes and prioritizes assigned work.
Strong interpersonal skills and ability to establish and maintain effective working relationships.
Remains calm and works through difficult interactions.
Effectively and creatively resolves unstructured problems.
Self-motivated and able to work independently.
Results-oriented.
Preferred
Five or more years of experience in health administration or management, ambulatory care, public health, community health, or other related healthcare experience.
Clinical knowledge.
Licenses & Certifications: Current LPN or RN license recognized by the State of Iowa Board of Nursing.
We Take Care of Our People
Your experience and skills determine your base pay. The hiring range for this position is typically $47,120 - 58,900 annually. Candidates with extensive work experience related to this position may be considered for additional compensation up to the pay grade maximum of $70,680. In addition to base pay, PHC offers a comprehensive benefits package, including:
Generous PTO accrual
Eight paid holidays
License/certification fee reimbursement*
Paid time off for continuing education & continuing education reimbursement*
Tuition reimbursement program
401k with company match
Medical insurance
Dental insurance
Vision insurance
Life & disability insurance
Flexible spending & health savings accounts
Supplemental accident & critical illness insurance
Discounted pet insurance
PHC Pride rewards program
Visit https://phciowa.org/careers for a summary of PHC's benefits.
*Applies to positions requiring clinical licensure or certification.
Grow Your Career with PHC
We take pride in offering development and growth opportunities to our team. Some of our training opportunities include Emerging Leaders, Dental Assitant Trainee Program, & Medical Assistant Trainee Program. In the last year, over 30% of our open positions were filled through promotions or transfers.
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