Vice President, Population Health Management - Huntington Beach, CA
3 weeks ago
Job summary
This is a hybrid position in Huntington Beach CA Candidate must resident in Los Angeles Orange County or surrounding areas Are you ready to make a lasting impact and transform the healthcare space We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth Access all high-level positions and get the job of your dreams.
Who Are We?
Clever Care was created to meet the unique needs of the diverse communities we serve Our innovative benefit plans combine Western medicine with holistic Eastern practices offering benefits that align with our members culture and values
Why Join Us?
We re on a mission Our rapid growth reflects our commitment to making healthcare accessible for underserved communities At Clever Care you ll have the opportunity to make a real difference shape the future of healthcare and be part of a fast-moving game-changing organization that celebrates diversity innovation Job Summary The Vice President of Population Health Management PHM provides enterprise-wide leadership for strategies that integrate utilization management care management and population health initiatives to improve quality affordability member health outcomes This role drives clinical operational performance through data-driven interventions regulatory compliance value-based partnerships while incorporating Social Determinants of Health health equity considerations into population health strategies leveraging analytics for predictive modeling risk stratification Functions & Job Responsibilities Population Health Strategy & Executive Clinical Partnership Leads development execution enterprise Population Health Management PHM strategy close partnership Health Plan Chief Medical Officer aligning utilization management care management quality population health priorities improve outcomes affordability regulatory performance Clinical Performance Quality & Population Health Outcomes Provides executive oversight clinical performance across population health programs including development oversight disease management initiatives ensuring evidence-based care models quality outcomes regulatory performance including Medicare Advantage quality measures such as Stars HEDIS CAHPS embedded program design execution ongoing performance monitoring Provider IPA MSO Partnership Governance In partnership with the Job description
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