Lead the design, implementation, and daily execution of Population Health Management programs aligned with Medicaid, Managed Care, and Value-Based Service (VBS) contracts.
Direct provider performance initiatives to improve quality outcomes, contract performance, and patient care delivery across the organization.
Serve as the organizational subject matter expert for population health, quality measurement, and value-based care strategies.
Coordinate logistics for population health projects (scheduling internal meetings, tracking action items, maintaining project plans).
Leverage multiple internal and external data sources to identify care gaps, quality performance trends, and opportunities for system-level improvement.
Translate complex health plan, HEDIS, CMS CQM, and contract reports into actionable workflows and targeted interventions for clinical teams.
Monitor, track, and report progress on population health initiatives to leadership using.
Collaborate with Executive Leadership, IT, Clinical Operations, and external partners to implement system-wide process improvements.
Serve as a liaison for Health Plans and other population health entities, ensuring compliance with all quality and value-based contract requirements.
Serve as project lead and primary contact for Health Information Exchange (HIE) and onboarding, maintenance, and reporting requirements.
Maintain user guides, tip sheets, and process maps for internal tools (EHR registries, data exports, BI dashboards).
Develop and deliver trainings, presentations, and guidance to support adoption of population health workflows and quality initiatives.
Requirements
Bachelor’s degree in Behavioral Health, Healthcare Administration, or similar related field required.
Minimum of 3 years of experience in a behavioral health environment.
Advanced knowledge in population health management, value-based care, and quality measurement (HEDIS, CMS CQMs, NCQA)
High attention to detail and strong organization skills are essential.
Experience using electronic health care records.
Excellent interpersonal skills, capable of confidently and effectively presenting and speaking.
Able to work independently, collaboratively and proactively to accomplish work goals.
Proficient in Microsoft Office Suite and managing projects through a full cycle process.
Proficient in basic data analysis, reporting to include spreadsheets, charts and diagrams.
If driving while on agency time or on agency business, a valid Arizona driver license and appropriate liability insurance and approval for liability coverage with EMPACT
SPC’s liability insurance carrier is required.
At time of hire, a 3-year state driving record with no major infractions or excessive driving violations/tickets is required.
Must have a Fingerprint clearance card or be eligible to obtain one.
Benefits
Generous PTO
10 paid holidays per year
Medical plans (4 choices)
Dental plans (2 choices)
Vision plans (2 choices)
403(b) retirement plan
Retirement Allowance
Company paid Life/AD&D and Long-term Disability
Voluntary additional Life and Short-term Disability