Director of Population Outcomes

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🏄 California, Washington – Remote

🏄 California – Remote ☕ Washington – Remote

💵 $155k - $170k / year

⏰ Full Time

🔴 Lead

👔 Director

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ConcertoCare

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2015

⚕️ Healthcare Insurance

🌍 Social Impact

Healthcare Insurance • Healthcare • Social Impact

ConcertoCare is a healthcare provider that specializes in delivering in-home medical care and support services for seniors. Their mission is to enable elderly patients to maintain independence and quality of life by providing coordinated health services right in their homes. With a focus on both medical and social needs, ConcertoCare offers a range of services, including primary care, transportation assistance, food support, and palliative care, particularly for those with complex care requirements. As a risk-bearing provider, ConcertoCare emphasizes advanced analytics and virtual care technology to enhance health outcomes for vulnerable populations, ensuring that each patient receives tailored care that addresses their unique challenges.

📋 Description

• 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

🎯 Requirements

• 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)

🏖️ Benefits

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