OnPoint Medical Group ยท 2 days ago
Director of Population Health
OnPoint Medical Group is a physician-led network committed to expanding access to high-quality healthcare. The Director of Population Health is responsible for managing and optimizing participation in quality incentive programs and value-based care contracts, while leading a team to improve patient outcomes and financial incentives.
Health CareHospitalMedical
Responsibilities
Develop and execute strategies to maximize performance on commercial payor quality incentive programs and value-based contracts
Lead the 4 person population health team in daily operations including care gap outreach, registry management, and quality reporting
Partner with commercial health plans to understand program requirements, performance benchmarks, and opportunities for improvement
Collaborate with providers and clinical staff to implement workflows that improve HEDIS measures, Stars ratings, and other quality metrics
Analyze performance data to identify gaps in care, prioritize interventions, and track progress against quality targets
Coordinate with revenue cycle and coding teams to optimize risk adjustment documentation and HCC capture
Manage vendor relationships for population health technology platforms and analytics tools
Prepare regular reports for leadership on quality performance, incentive program results, and financial impact
Ensure compliance with payor contract requirements and quality program guidelines
Provide training and support to clinical staff on quality measure documentation and care gap closure
Support the organization's participation in ACO,, or other value-based payment initiatives
Qualification
Required
Bachelor's degree in Healthcare Administration, Public Health, Nursing, Clinical or related field
At least 3 years of experience in population health, quality improvement, or payor contract management within a medical group or similar ambulatory care setting
Demonstrated experience working with commercial health plans on quality incentive programs (e.g., HEDIS, Stars, P4P programs)
Strong understanding of quality metrics, care gap closure, and risk adjustment methodologies
Proven ability to lead small teams and manage multiple projects in a fast-paced clinical environment
Proficiency with population health platforms, EMR reporting tools, and data analytics
Preferred
Master's degree in Healthcare Administration, Public Health, or related field
Experience in a medical group of similar size (250-1000 employees)
Direct experience managing commercial Medicare Advantage, Medicaid managed care, or commercial HMO quality programs
Familiarity with value-based payment models and ACO programs
Knowledge of risk adjustment coding and HCC capture strategies
Certification in healthcare quality (e.g., CPHQ) or population health management