Centene Corporation ยท 5 hours ago
Director, Population Health Strategy
Centene Corporation is a diversified, national organization focused on transforming the health of communities. The Director of Population Health Strategy is responsible for directing the design and implementation of initiatives aimed at improving care coordination and health outcomes, while ensuring compliance with regulations and managing costs.
Hospital & Health Care
Responsibilities
Directs process improvements for the population health strategy team to achieve cost-effective healthcare results and comply with federal and state regulations to improve health and quality outcomes
Leads population health strategy team on performance, improvement, and career growth path considerations
Leads and organizes population health strategies for National Committee for Quality Assurance (NCQA) standards, state, and/or other accreditations
Contributes to the evaluation of population health strategy operations to identify efficiencies in clinical and non-clinical programs
Develops long-term population health strategies and influences decisions by providing recommendations that align to organizational objectives
Develops department budget while collaborating inter-departmentally and with senior leadership team
Develops the overall strategy for onboarding, hiring, and training new population health strategy team members to ensure adequate training and high-quality care to improve care coordination and health and quality outcomes including efficiencies in programs
Works cross functionally to drive process improvements to manage costs and provide recommendations to improve health and quality outcomes
Leads, develops, and ensures clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements
May work across multiple Line of Business and states to encompass program needs into population health strategies
Performs other duties as assigned
Complies with all policies and standards
Qualification
Required
Candidates must reside in Michigan or a surrounding state and be able to accommodate up to 25% field or in-office work
Requires a Bachelor's degree and 7+ years of related experience, including prior management experience
Directs process improvements for the population health strategy team to achieve cost-effective healthcare results and comply with federal and state regulations to improve health and quality outcomes
Leads population health strategy team on performance, improvement, and career growth path considerations
Leads and organizes population health strategies for National Committee for Quality Assurance (NCQA) standards, state, and/or other accreditations
Contributes to the evaluation of population health strategy operations to identify efficiencies in clinical and non-clinical programs
Develops long-term population health strategies and influences decisions by providing recommendations that align to organizational objectives
Develops department budget while collaborating inter-departmentally and with senior leadership team
Develops the overall strategy for onboarding, hiring, and training new population health strategy team members to ensure adequate training and high-quality care to improve care coordination and health and quality outcomes including efficiencies in programs
Works cross functionally to drive process improvements to manage costs and provide recommendations to improve health and quality outcomes
Leads, develops, and ensures clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements
May work across multiple Line of Business and states to encompass program needs into population health strategies
Performs other duties as assigned
Complies with all policies and standards
Preferred
Highly preferred candidates will have experience with Utilization Management (UM), Care Management (CM) activities, cost of care initiatives, and demonstrated leadership experience
Benefits
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Company
Centene Corporation
Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.
Funding
Current Stage
Late StageLeadership Team
Recent News
Business Journals
2024-05-06
FierceHealthcare
2024-04-28
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