Quality Program Manager-Population Health

Overview

Now hiring a Quality Program Manager-Population Health

This opportunity is open to remote applicants in the United States, with the exception of the following states:

Wyoming, North Dakota, and Ohio. Must be able to work mountain time

Anticipates, develops, and implements complex, multi-departmental initiatives supporting PHP's population health management strategy, including targeted components of our wellness and health education framework. Role includes implementation and oversight of population health initiatives, often in partnership with providers and community stakeholders, execution of population health focused Member digital engagement strategies, and implementation of new clinical and population health programs and partnerships. Works with population health teams to obtain and maintain related accreditations, meet current regulatory requirements, and plan for emerging regulatory requirements.

How you belong matters here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

• Full Time - Exempt: Yes

• Job is based Rev Hugh Cooper Admin Center

• Work hours: Weekday Schedule Monday-Friday

• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.

Qualifications

• Bachelors degree in Business, Public Health, Nursing, Healthcare, or related field, Masters preferred.

• 2 years professional experience with 1 year healthcare preferred

• Certified Health Education Specialist (CHES) qualification, preferred.

• Experience with communicating and presenting to leadership groups, committees, and teams, preferred.

• Compliance

• Managed Care

• MS Office

Responsibilities

• Develop and analyze reports, program plans and milestones

• Utilizing quality tools, identifies, develops, builds, and initiates evidence based programs for improving health outcomes for specifically delineated programs or populations

• Creates and updates work plans, tasks, timelines, and measurements.

• Selects article topics and reviews draft articles for providers and members

• Works with identified stakeholders regarding compliance, including current and emerging

accreditation, reporting, and regulatory requirements related to population health, including health equity, social determinants of health, health literacy, and culturally and linguistically appropriate services.

• Performs outcomes assessments *Identifies & resolves issues, escalates as necessary

• Facilitates collaboration throughout the health plan and external organizations, to optimize the success of population health management activities using input and resources from the appropriate business units

• Negotiates with vendors and collaborates with contracted network providers, various coalitions, community organizations, etc.

• Utilizes organization s strategic plans to develop, monitor, and report program plans and milestones.

• Recognizes change in the managed care environment and develops responsive initiatives

• Compiles and presents summaries of health management activities in a professional format to the appropriate internal or ext

Benefits

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

Inclusion and Diversity Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

#PHP123

Maximum Offer for this position is up to

USD $41.39/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.