- Provide strategic leadership for population health internally, as well as with providers, community organizations, advocacy groups, and applicable legislature
- Understand the local healthcare landscape to look for key drivers & opportunities for innovative models targeting the Quadruple Aim
- Understand the unique community health needs and the attributes of the populations served to drive development of programs and service
- Uses analytics to identify key insights about the populations served and drive the development of the interventions to target unique populations
- Oversees performance of all UM functions (prior authorization, concurrent review) for the market per the defined partnership agreement
- Orchestrates all elements of the population health strategy for the business
- Drives HBR initiatives locally through strong partnership and routine with Finance
- Partners with MDs to translate the needs of the members into intentional clinical program design that delivers successful health outcomes
- Liaises with state regulators for clinical programs
• - Coordinates quality initiatives (audits, star ratings, contract reviews, etc.) and activate enterprise and local policies
- Informs and executes against contracts (including provider contracts) – driving outcomes captured in contract and operationalizing locally
- Contributing member of enterprise and local committees
• - Serves as an integral member of the executive leadership team, charged with delivering clinical solutions to evolving business needs
- Executes on standards and customizing per local requirements while partnering with the COEs to drive continuous improvement through governance and performance monitoring
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Population Health Specialist
1 week ago
Harmony Health Care Long Island Westbury, United States**OUR VISION** · To continue as an eminent healthcare provider on Long Island, dedicating ourselves to providing exceptional health care for all our patients and to transform both the lives of the individual, and the community, for the better, one person at a time. · **OUR MISSIO ...
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Community Health Worker/population Health
1 week ago
Community Healthcare Network Inc New York, United StatesThe Population Health Community Health Worker will provide short term care coordination for patients being discharged from hospitals or other inpatient settings back to the community to ensure a successful transition and reduce the likelihood of avoidable readmission to the hospi ...
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population health specialist
5 days ago
JOSEPH P. ADDABBO FAMILY HEALTH CENTER, Inc. Arverne, United StatesPOSITION SUMMARY: · Under the direct Supervision of the Referrals Supervisor, the Population Health Specialist (PHS) plays a crucial role in managing and facilitating the referral process within JPAFHC. PHS primary responsibilities involve facilitating and managing the entire pro ...
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population health specialist
1 week ago
Joseph P. Addabbo Family Health Center Arverne, United StatesPOSITION SUMMARY: · Under the direct Supervision of the Referrals Supervisor, the Population Health Specialist (PHS) plays a crucial role in managing and facilitating the referral process within JPAFHC. PHS primary responsibilities involve facilitating and managing the entire pr ...
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population health specialist
1 week ago
JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC. Arverne, United StatesJob Description · Job DescriptionPOSITION SUMMARY: · Under the direct Supervision of the Referrals Supervisor, the Population Health Specialist (PHS) plays a crucial role in managing and facilitating the referral process within JPAFHC. PHS primary responsibilities involve facilit ...
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Rn, Population Health, Full Time Days
1 day ago
Valley Health System of Ridgewood, NJ Ridgewood, United States Full timeRN, Population Health, Full Time Days · ***: · The Population Health Nurse (PHN) is responsible for following high-risk participating patients/beneficiaries across the continuum of health care using an evidence-based care coordination approach to provide services designed to stre ...
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Medical Director of Population Health
4 days ago
SUNY Downstate Medical Center Brooklyn, United StatesThe Department of Regulatory Affairs at SUNY Downstate Health Sciences is seeking a full time Medical Director of Population Health / Clinical Assistant Professor (HS). The Medical Director of Population Health is responsible for overseeing and guidi Medical Director, Assistant P ...
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Medical Director of Population Health
5 days ago
SUNY Downstate Medical Center Brooklyn, United StatesThe Department of Regulatory Affairs at SUNY Downstate Health Sciences is seeking a full time Medical Director of Population Health / Clinical Assistant Professor (HS). · The Medical Director of Population Health is responsible for overseeing and guiding healthcare initiatives ai ...
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Population Health Specialist
3 days ago
Long Island FQHC Westbury, United StatesOUR VISION · To continue as an eminent healthcare provider on Long Island, dedicating ourselves to providing exceptional health care for all our patients and to transform both the lives of the individual, and the community, for the better, one person at a time. · OUR MISSION · To ...
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Population Health Strategy Manager
1 week ago
Healthfirst New York, United StatesThe Healthfirst Population Health department synthesizes industry and business trends, reviews regulatory changes and best practices, and makes informed recommendations on clinical and quality initiatives to help Healthfirst remain competitive in the health insurance industry. Th ...
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Population Health Strategy Manager
1 week ago
Healthfirst New York, United StatesThe Healthfirst Population Health department synthesizes industry and business trends, reviews regulatory changes and best practices, and makes informed recommendations on clinical and quality initiatives to help Healthfirst remain competitive in the health insurance industry. · ...
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Program Manager, Population Health
1 week ago
Summit Health Inc New Providence, United StatesThe main role of the Population Health/ Value Based Care Manager will be to work with clinical and operational leaders across Summit Health to advance value-based care clinical initiatives. The Manager focuses on current and new initiatives to integr Program Manager, Manager, Hea ...
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population health project coordinator
1 week ago
Richmond University Medical Center Staten Island, NY, United StatesThe Population Health Project Coordinator will drive initiatives designed to enhance quality patient care, meet regulatory requirements, achieve recognition from oversight bodies and maximize incentives. Position will require candidate to utilize EMR to document goals and complia ...
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Doral Health & Wellness New York, United StatesCompany Overview: Welcome to Doral Health and Wellness, a leading healthcare provider in Brooklyn, New York. Our state-of-the-art facilities are dedicated to delivering comprehensive medical services and promoting holistic wellness for our diverse community. At Doral, we prioriti ...
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Doral Health & Wellness New York State, United StatesCompany Overview: Welcome to Doral Health and Wellness, a leading healthcare provider in Brooklyn, New York. Our state-of-the-art facilities are dedicated to delivering comprehensive medical services and promoting holistic wellness for our diverse community. At Doral, we priorit ...
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JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC. Arverne, United StatesJob Description · Job DescriptionPOSITION SUMMARY: · The QA Director will Plan, coordinate, and implement the quality management and quality improvement programs for the health center, ensuring compliance with regulatory requirements and accreditation standards. The QA director w ...
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Mount Sinai Hospital New York, United StatesJob Description · Strength Through Diversity · Ground breaking science. Advancing medicine. Healing made personal. · Roles & Responsibilities: · The Administrative Assistant II is an experienced administrative support person who provides a wide variety of administrative support s ...
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Northwell Health North New Hyde Park, United States Part timeJob Description · Population Health-Part Time · Implements, coordinates, and evaluates all clinical Pharmacy services. Assists and directs Medication Usage Evaluations, collaborates with the medical staff, and establishes criteria for the safe, effective and appropriate use of me ...
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Community Outreach Social Worker
1 day ago
New York Health Care Queens, United StatesNew York Health Care Inc., is now in our 40th of business is seeking full time entry level **Community Outreach Representative**s with a **Social Work **background for immediate hire. This is a field position which will include significant travel within the local area. This is a ...
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Director of Social Services
5 days ago
Lantern Community Services Inc Queens, United States**Reports to**:Shelter Director · **Status**:Full-time · **FLSA Classification**: Exempt · **Job Location**: Jamaica, Queens · Salary Range: $60,000 - $75,000 · **Essential Functions**: · - Reasonable accommodations may be made to enable individuals with disabilities to perform e ...
Vice President, Population Health - Queens, NY, United States - Fidelis Care
Description
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
Position Purpose: In partnership with the CMO, serve as a key stakeholder, decision maker, and catalyst, for all market level population health identification, strategy, evaluation, and monitoring to achieve the Quadruple Aim and drive Centene's Population Health mission at the market level.
Experience/Education: Bachelor's degree with 5+ years of relevant experience. Previous experience in a managed care organization strongly preferred. 3+ of leadership experience. Master's Degree preferred.
License/Certification: Current state RN license preferred.
Fidelis Care Plan Only: Bachelor's degree in healthcare administration or related field required; master's degree preferred.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
