Directs the design, implementation, and execution of the clinical care management and health coaching activities
Designs and implements proven, clinical strategies ensuring quality and cost-effective care across the care continuum
Fosters collaboration with interdepartmental leadership to resolve issues and develop innovative benefits
Leads the development, implementation, and execution of clinical programs and population health initiatives
Establishes, tracks, and analyzes key performance metrics for care management, health coaching, and population health programs
Ensures the effectiveness and efficiency of care management activities, grounded in sound business and clinical principles
Leads, mentors, and develops a diverse team of direct and indirect staff
Oversees departmental budgeting processes and ensures adherence to approved budgets
Drives the implementation of new programs, including program design, contract development, ROI projections, and integration with other departments
Serves as the primary representative of the care management department with internal and external customers

Bachelor’s degree in nursing or business
10-15 years of healthcare experience with 5+ years of experience in a leadership role
Demonstrated ability to build and implement population health programs that improve health outcomes and reduce costs
Proven analytical skills with the ability to influence, lead, and direct individuals across multiple functional areas
Strong proficiency in contract review and vendor management, including oversight of external vendor partners and related programs
Excellent communication and team-building skills, with a record of diplomacy, sound judgment, and integrity
Experience supporting HEDIS and CAHPS performance, including knowledge of NCQA HEDIS measurement data sets
Experience in health plan accreditation and benefit design

Health/Vision/Dental benefits effective day one
401(k) retirement plan: company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution
Robust employee well-being program
Paid Time Off
Personal Community Enrichment Time
Company-provided Basic Life and AD&D
Company-provided Short-Term & Long-Term Disability
Tuition Assistance Program

Director of Population Health

Key skills