Director of Population Health

Director of Population Health

Location: Syracuse New York

ABOUT THE OPPORTUNITY

Our client Crouse Health is seeking an experienced Director of Population Health to provide strategic leadership across population health value-based care clinical integration utilization management and quality improvement initiatives. This role will be responsible for developing and implementing programs that improve clinical outcomes enhance the patient and provider experience and support the delivery of high-quality cost-effective care across Crouse Healths member populations. This is a highly collaborative leadership role with the opportunity to influence population health strategy across the organization strengthen provider and payer relationships and develop scalable programs that support improved health outcomes and long-term value-based care performance. The Director will also oversee departmental operations and staff while serving as a key resource to senior leadership committees and clinical stakeholders.

CORE RESPONSIBILITIES

• Develop and maintain effective utilization management and quality management systems supporting credentialing utilization review cost management member performance feedback communication and related administrative functions.
• Identify key needs across Crouse Healths member populations and develop scalable data-driven programs designed to improve outcomes and reduce the total cost of care.
• Provide strategic guidance to leadership and support short- mid- and long-term planning aligned with organizational goals.
• Promote collaboration and alignment among physicians practices and health system partners.
• Design and implement evidence-based protocols to streamline chronic disease management.
• Translate utilization cost and quality data into actionable insights for physicians and clinical stakeholders.
• Support payer partnerships and serve as a primary point of contact.
• Facilitate process improvement activities supporting clinical integration initiatives.
• Assist leadership and boards/committees in identifying and promoting methods to improve the quality of healthcare provided by participating members.
• Develop and maintain effective member grievance processes that ensure timely response and resolution.
• Maintain current knowledge of healthcare industry trends market conditions regulatory requirements quality mandates reimbursement requirements and third-party payer utilization standards.
• Ensure compliance with applicable federal and state regulations regulatory/accrediting guidelines and professional standards.
• Participate in hospital and performance improvement councils and committees as requested.
• Develop and maintain department policies scope of services quality indicators and related procedures.
• Manage and develop staff including employee selection onboarding coaching performance management staffing work assignments and goal alignment.
• Coordinate resources and budgetary needs to support quality cost-effective programs and services.
• Foster strong relationships with physicians healthcare providers community partners and other stakeholders.
• Communicate organizational and industry trends to leadership and recommend modifications in strategy or direction as needed.
• Perform other duties as assigned by Senior Leadership.

REQUIREMENTS

• Bachelors degree in a related field required.
• Masters degree (MS MPH MBA) or other licensed clinical degree (LPN RN NP) preferred.
• Minimum of five years of experience in a related field.
• Prior experience in population health value-based care performance clinical integration utilization and care management physician engagement and working directly with payer partners.
• Experience managing healthcare quality improvement performance improvement and/or practice transformation projects.
• Proven business acumen and analytical skills including an understanding of clinical data management and analysis.
• Strong written and verbal communication skills with excellent facilitation and interpersonal abilities.
• Excellent organizational and problem-solving skills.
• Current knowledge of governing regulations third-party payer utilization quality mandates reimbursement requirements and standards associated with Care Management and Utilization Management.
• Demonstrated ability to effectively interact with physicians patients healthcare providers and team members.

Salary: $170000 - $200000 annually

BENEFITS

• Medical Dental Vision FSA and 401K
• Company-paid life insurance
• Tuition Assistance and Workforce Development Opportunities
• Crouse Health Employee Assistance Program
• Employee discounts on inpatient and outpatient services hospital cafeteria and pharmacy and certain retailers
• YMCA Subsidy Program

M3 Placement and Partnership is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion gender gender identity or expression sexual orientation national origin genetics disability age veteran status or any other status protected by law.