Director Population Health Operations and Clinical Support
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Job Location:
Houston, MS - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Were searching for a Director of Population Health Operations and Clinical Support someone who works well in a fast-paced this position youll develop and oversee a comprehensive population health management strategy to improve the health and wellbeing of STAR Kids and STAR/CHIP members including social determinants of health. This position will help to define population health initiatives and create a structured scalable approach to prioritizing and monitoring population health initiatives through appropriate outreach campaigns health screenings and referral programs
Think youve got what it takes
Job Duties & Responsibilities
- Ensures STAR Kids timeliness measures are met for new member outreach and initial SAI timeliness
- Ensures Member complaints are received timely and all interventions and resolutions are appropriate
- Ensures PDN/LTSS Specialty Care Team works collaboratively with internal and external partners and appropriate care delivery. Reduces avoidable costs of care
- Creates and manages a population health strategy by identifying and addressing specific needs of STAR Kids and STAR/CHIP subpopulations. Integrates population health principles and evidence-based research to develop interventions
- Through call campaigns develops new and enhance existing interventions to improve HEDIS metrics clinical outcomes and reduce cost
- Oversees development of social determinants of health program including MCO outreach and partnerships with community organizations
- Represents MCO as thought-leader and community partner for SDOH needs and healthy equity
- Collaborates effectively with Executive Leadership and other leaders of the system. Utilizes presentation skills to demonstrate need and propose solutions
- Communicates positively and appropriately to work effectively as a team. Provides appropriate information at the appropriate level and audience
Skills & Requirements
- Bachelors degree in nursing or social work required
- Masters degree in nursing preferred
- 5 years of supervisory/formal leadership experience required
- 4 years of progressively responsible professional experience in population health community public health ambulatory care or healthcare administration required
- Experience with NCQA accreditation process requirements preferred
Required Experience:
Director
Key Skills
- Employee Relations
- Employee Evaluation
- Management Experience
- Profit & Loss
- Conflict Management
- Operations Management
- Project Management
- Budgeting
- Leadership Experience
- Supervising Experience
- Leadership management
- Financial Planning
About Company
Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades suc ... View more
