Director, Population Health
Are you excited to step into a complex world that requires a blend of mind, heart and flexibility? We at CareOregon have been strengthening communities since 1994 by making health care work for everyone. As a nonprofit health plan largely focused on Oregon’s Medicaid population, we find fulfillment in supporting the underserved.
General Statement of Duties
This position is responsible for leading the execution and performance monitoring of population health strategies and clinical priorities for the organization. This involves working collaboratively with CCO leaders, delivery system partners, and social service agencies to improve health outcomes and contribute to sustainable medical cost trends through access to safe and effective healthcare. Time is focused on business group oversight, with secondary time on enterprise-wide engagement. Primary duties include operational planning and oversight, as well as resource, relationship, and people management. This position provides input into strategic plans for the broader organization.
Essential Position Functions
Provides operational leadership and oversight of the organization’s population-based programs serving CareOregon members.
Drives the implementation of the Population Health Strategy:
Utilize data to drive strategy and quality improvement
Transform care by developing interventions that address the needs of the individual as well as the overall population, with disparity populations identified and supported
Support the delivery system in implementing and sustaining payment transformation models of value-based care
Establish meaningful community partnerships
Direct meaningful evaluation for Quality and/or Return on Investment
Designs and implements team performance monitoring system to ensure program effectiveness, fidelity to best practices, and regulatory compliance.
Utilizes available resources to accomplish the goals set out in the strategy and work closely with regional leadership to deploy interventions and strategies in regionally meaningful ways.
Leads the team effectively through change; regularly and proactively communicate with leaders and staff regarding impending external and internal change. Include front line staff whenever possible in designing solutions to effectively navigate change.
Collaborates with other CareOregon departmental leaders to develop cross-departmental clinical quality and cost-reduction strategies that leverage multiple disciplines and promote efficiency for the organization.
Collaborates with delivery system leaders within all CCO regions to build a strong foundation of population health program support for CareOregon’s statewide primary, secondary and tertiary delivery systems.
Participates in the development of vision, goals, and strategic plans for Population Health.
Provides input into the strategic plans of the organization.
Develops annual team goals that align with organizational strategic goals in collaboration with the Vice President, Population Health.
Develops short and long-term plans and policies; oversees the development and execution of standard operating procedures.
Maintains a business unit view while establishing department priorities, being cognizant of broader business unit and organizational impacts.
Participates in PHP budget process annually.
Recommends budgets in alignment with short and long-term plans.
Manages resources to ensure priorities are accomplished.
Recommends changes which result in more effective use of resources and cost containment.
Ensures approval for budget variances as required.
Approves resource allocations within budget, including people, finances, and timelines; make decisions on exceptions.
Leads effective communication system for work group(s), ensuring a collaborative culture.
Builds and ensures effective relationships across internal teams and external organizations for current or future integration.
Develops and maintains partnerships with community-based social service organizations to assure CareOregon can leverage and improve access to upstream non-medical health-enhancing services for its members.
Partners with internal leaders and managers in identifying improvement plans and processes.
Represents CareOregon in external meetings and functions, providing productive leadership presence and effectiveness
Directs team(s) and establishes team and management goals.
Provides team members with ongoing understanding of business unit plans and expectations.
Performs employment functions in collaboration with Human Resources, including staffing, recruitment, performance management, professional development, and termination.
Coaches, motivates, and recognizes staff.
Creates opportunities for professional development.
Leads the development of performance goals, measurement, and evaluation of results.
Ensures participation in required training initiatives and organizational activities, as well as adherence to external regulations and internal policies.
Drives a culture of success in alignment with the organizational mission, vision, and values
Knowledge, Skills and Abilities Required
Clinical knowledge of the management of diverse medical and psychosocial problems and a deep understanding of the health effects related to poverty, societal discrimination, and intergenerational trauma
Knowledge of managed care and publicly-financed health care stewardship principles
Understanding of health literacy, shared decision making, and advanced care planning principles
Ability to design and operationalize new clinical initiatives and strategies that improve population outcomes and have the potential to reduce avoidable acute care utilization
Leadership effectiveness and ability to design and implement constructive change within an organization and across multiple organizations
Ability to lead a diverse group of people toward a common vision with proven results related to motivation, engagement, and goal attainment
Highly effective strategic planning, organization, and continuous improvement skills
Excellent interpersonal, written and verbal communication skills
Ability to identify key metrics, analyze, and leverage data toward decision-making
Demonstrated ability to train diverse groups about population health, and triple aim principles
Education and/or Experience Qualifications
Minimum 8 years’ experience in clinical programs or settings
Minimum 3 years of experience managing staff in a clinical program, department, or agency
Master’s Degree in Public Health, Behavioral Health, Nursing, or a related clinical field of study
5 or more years’ experience in managed care or the health insurance industry
Experience performing or overseeing data analysis or informatics used toward decision making
Environment: This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):
☒ Inside/office ☐ Clinics/health facilities ☐ Member homes
Travel: This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.
Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment
Veterans are strongly encouraged to apply.
Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.Position Description »