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Centene Corporation · 1 day ago

Lead Population Health Strategy Specialist

Louisiana, United States

Full-time

Hybrid

Senior Level, Lead/Staff

$87K/yr - $161K/yr

5+ years exp

Centene Corporation is transforming the health of communities, aiming to improve care coordination and health outcomes for its members. The Lead Population Health Strategy Specialist will oversee the design of population health strategy initiatives and collaborate with senior leadership to monitor care effectiveness and identify areas for improvement.

Hospital & Health Care

Responsibilities

Leads and oversees the design of highly complex population health strategy initiatives, programs, and operational plans to improve care coordination, health and quality outcomes of members based on population health principles

Identifies, manages, and tracks clinical, quality, documentation and data submission projects to achieve strategic objectives

Monitors care management trends and analytics to support program initiatives and efficiencies and help identify high risk member populations

Develops and reviews with senior leadership financial budgets and forecasts for strategic planning and initiatives

Coordinates with senior leadership strategic planning initiatives in accordance with federal and state regulations and company policy

Works cross functionally to identify areas for process improvements to manage costs and provide recommendations to improve health and quality outcomes

Tracks and monitors program participation and member outcomes to access the efficacy of programs and interventions and make recommendations for improvement

Collaborates with senior leadership team to provide insights to improve coordination of care, member utilization, and improve overall health and quality outcomes

May work across multiple Line of Business and states to encompass program needs into population health strategies

Works with senior leadership team to support clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements

May assist population health strategy senior leadership team with onboarding, hiring, and training care management team members

Performs other duties as assigned

Complies with all policies and standards