Serve as the liaison between data analytics/reporting teams and the clinical leadership team
Identify trends in population health while providing a clinical perspective to support clinical solutions aimed at improving patient care
Leverage existing data and reporting sources as well as develop new analytics to support health plan senior leadership
Identify, develop, implement, and evaluate the effectiveness of strategic initiatives, trends, policies, and programs
Analyze policy/procedure/workflows on case management and utilization management for care redesign
Analyze Total Cost of Care, Stars, Risk Adjustment, etc. data for opportunities and propose Strategic Action Items and other initiatives to improve outcomes
Work collaboratively with various departments to improve Medicare business operations and clinical program execution
Develop and improve Medicare reporting, such as in Tableau
Lead and implement informatics communication efforts
Maintain strong collaborative relationships with care management teams
Actively participate in meetings and communications at various levels

Board certification in Medical Informatics preferred
Masters in related field preferred
5 years work experience in managed care required (preferably in Medicare)
Experience in care model design and implementation, population health development and/or clinical product development preferred
Medical informatics and/or data science experience preferred
Care Redesign experience required
Must meet COVID-19 requirements
Active and current state medical license without encumbrances
M.D. or D.O., Board Certification in a recognized specialty including post-graduate direct patient care experience.

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access and many other benefits depending on eligibility.

Medical Director – Senior Clinical Solution, Population Health

Key skills