Director of Population Outcomes

🕒 6 dias atrás

🏄 California, Washington – Remoto

🏄 California – Remote ☕ Washington – Remote

💵 $155.000 - $170.000 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

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ConcertoCare

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 2015

⚕️ Seguro de Saúde

🌍 Impacto Social

Healthcare Insurance • Healthcare • Social Impact

A ConcertoCare é um provedor de saúde que se especializa em oferecer cuidados médicos e serviços de apoio domiciliares para idosos. Sua missão é permitir que pacientes idosos mantenham sua independência e qualidade de vida, proporcionando serviços de saúde coordenados diretamente em suas casas. Com foco nas necessidades médicas e sociais, a ConcertoCare oferece uma gama de serviços, incluindo cuidados primários, assistência com transporte, apoio alimentar e cuidados paliativos, especialmente para aqueles com exigências complexas de cuidados. Como um provedor que assume riscos, a ConcertoCare enfatiza análises avançadas e tecnologia de atendimento virtual para melhorar os resultados de saúde para populações vulneráveis, garantindo que cada paciente receba cuidados personalizados que atendam aos seus desafios únicos.

Descrição

• Reporting to ConcertoCare’s Vice President of Population Health • Develop and manage strategies to address utilization and high-cost medical expenses for the assigned market(s) population • Ensure key components of ConcertoCare’s Care Model are being used by providers to drive population impact • Support the mission, vision, and values of ConcertoCare in delivering individualized, proactive care to high-risk patients • Work in conjunction with the Population Outcomes Manager and collaborate with the Market Medical Director(s) and other Directors of Population Outcomes • Identify and analyze impactable utilization trends • Partner with interdisciplinary teams to identify and plan interventions • Prepare case summaries for interdisciplinary discussion • Perform Population Surveillance on assigned market(s) population • Utilize internal and external reporting tools to guide opportunities to reduce avoidable utilization • Design, implement, and manage projects in partnership with key leaders • Collaborate with actuarial and med economics team to identify trends in cost and utilization data • Compile data for use in Joint Operating Committee Meetings • Support customer success through leading meetings with payer case management teams and community resources/vendors • Manage and aggregate patient and MLR data, create presentations for internal and external partners • Lead market-level medical expense management activities and presentations

🎯 Requisitos

• Graduation from an accredited nurse practitioner school • Master’s Degree required • Board Certified Nurse Practitioner with licenses in CA and/or WA or the ability to obtain immediate licensing • Active license in the worked-in-state, or the ability to obtain one • Five or more years of clinical experience, including at least 3 years in a value-based care environment with Medical Expense or Total Cost of Care -related experience • Geriatric care experience preferred • Knowledge of Medicare and Medicaid highly desired • Demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines • Team leadership experience, particularly with indirect authority or in matrixed organization • Ability to demonstrate systems level thinking and problem solving, while maintaining focus on the individual patient level of care as indicated • Demonstrated expertise in reporting, analyzing, and designing initiatives based on data analysis • Requires strong technological capacity, including advanced knowledge of Microsoft Office, including Excel, PowerPoint, and Word, familiarity with SharePoint, and frequently used mobile device applications • Demonstrated highly effective and professional verbal and written communication skills • Ability to work in fast paced, dynamic environment and work well with others on multiple teams in assigned market(s)

🏖️ Benefícios

• full healthcare coverage • 401K with match • a broad range of other health, wellness, and financial benefits