Manager, Population Health

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $83k - $132.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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This company has sponsored H1B visas in the past.

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Lead and manage population health strategies to improve quality of care, access, and outcomes for CareSource members • Implement and manage the population health management strategic plan for the market with the Director of Population Health and Chief Medical Officer • Manage team care navigation efforts connecting members with resources, services, and supports • Support quality improvement initiatives and drive gap closure with Enterprise Quality Improvement teams • Implement quality initiatives and interventions for women, children, pregnant women, infants, adolescents, and teens • Review, audit, and monitor quality improvement, performance improvement, and accreditation activities • Develop and implement community and provider engagement strategies with Network and Community Marketing teams • Support community partnerships addressing health equity and social determinants of health barriers • Use analytics and data to drive community, provider, and member engagement • Participate in root cause analyses and ensure data is effectively presented and used to address accreditation, clinical monitoring, and quality issues • Establish and maintain standards and procedures for accreditation and quality reporting and documentation • Communicate strengths and improvement opportunities to the Quality Management and Improvement Committee • Participate in national, state, and local committees, focus groups, and internal workgroups • Provide leadership, direction, coaching, and development to staff • Monitor staff performance, scheduling, productivity, and quality • Perform other job-related duties as requested • Travel regularly to homes, offices, and other public settings; travel may exceed 50%

🎯 Requirements

• Must reside in the State of Georgia and same assigned territory, except possible business-need exceptions • Bachelor of Science (B.S.) in a health-related field required • Equivalent years of relevant work experience may be accepted in lieu of required education • Three (3) years in a Managed Care Organization (MCO) or other healthcare-related field required • Three (3) years of experience in quality or analytics required • Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint • Experience in data collection, analysis, and trending of processes and outcomes • Knowledge of performance improvement principles, quality methodology, regulations, and standards for health plan quality and accreditation requirements • Working knowledge of health plan policies and procedures • Current, unrestricted Registered Nurse (RN) licensure in state of practice preferred • Influenza vaccination required during influenza season, with annual proof for designated positions • Ability to travel more than 50% of the time; over 50% routine mobile travel required • Ability to work flexible hours, including possible evenings and weekends • Master's degree in health services, public health, health care administration, or another health care field preferred • Additional two years in an MCO or healthcare-related field strongly preferred • Three years of leadership/management experience preferred • Medicaid experience preferred • Ability to present data and recommendations clearly and concisely • Effective problem-solving, critical thinking, listening, communication, interpersonal, teamwork, and organizational skills • Ability to work independently and in a team environment • Customer service and member-focused orientation

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Comprehensive total rewards package • Influenza vaccination requirement and immunization support for designated positions • Reasonable accommodations for qualified individuals with disabilities, medical conditions, or sincerely held religious beliefs • Flexible hours, including possible evenings and/or weekends as needed • Continuing education support