Under the leadership of the Director of Population Health, manages and provides direction to thePopulation Health team managers and supervisors to ensure Basic Population Health Managementactivities are performed in compliance with DHCS and NCQA requirements. Participates in thedevelopment, implementation, and maintenance of Population Health programs and achievementof department goals and objectives in a fast paced, dynamic environment. Ensures compliancewith established operational criteria, NCQA, and DHCS Standards, and Partnership policies andprocedures.

• Provides day-to-day direction to Pop Health managers and supervisors to meet departmentgoals and objectives.
• Oversees team performance management, including onboarding activities, monthlysupport cards, and annual performance evaluation process. Keeps Director apprised ofstaff concerns and accomplishments, and provides feedback on performance evaluations.
• Coordinates activities with Health Equity, Quality, Member Services, Care Coordination,and Pharmacy departments, along with Regional Leaders and Communications, toidentify, track, and monitor alignment for Population Health Management activities acrossthe organization.
• Collaborates with internal departmental leaders as well as cross-departmental leadershipto ensure regulatory compliance for DHCS and NCQA requirements, including mandatorysubmissions and audits.
• Responsible for establishing and maintaining reports that analyze the efficacy of eachPopulation Health activity and producing a summary, at least annually or upon request,that includes statistical reports of Population Health activities and impact.
• Develops and maintains knowledge base of Partnership benefits and Population Healthprograms. Serves as a resource for staff, other departments, and external parties on howPopulation Health programs serve organizational objectives.
• Actively participates in organizational meetings and goals; providing input whereappropriate and informing assigned team of what is learned or changed as a result of thosemeetings.
• Ensures all departmental policies and procedures are updated at least annually, or asneeded, and presented to appropriate committees for review.
• Other duties as assigned.

Education and Experience

Bachelor’s degree required, RN license preferred. Minimum five (5)years of relevant experience in health care operations; minimum three(3) years of management experience with effective problem solving; orequivalent combination of education and experience.

Special Skills, Licenses and Certifications

Current California Registered Nurse license preferred. Workingknowledge of Medi-Cal (DHCS) program and/or NCQA Health Planguidelines. Knowledge of and experience with Federal Medicaidand/or California Medi-Cal programs preferred. Strong organizationalskills required. Computer literacy and proficiency. Valid CaliforniaDriver's License and proof of current automobile insurance compliantwith Partnerships policies are required to operate a vehicle and travel forcompany business.

Performance Based Competencies

Excellent written and verbal communication skills in English.Demonstrated effective leadership and analytical skills. Effective oraland written communication skills. Ability to work effectively acrossdepartments and functions within the organization. Ability to managemultiple concurrent projects and maintain a work pace appropriate tothe workload. Ability to assist individuals in recognizing and solvingproblems. Excellent interpersonal skills.

Work Environment And Physical Demands

Ability to use a computer keyboard. Ability to prioritize workload andinitiate action to acquire needed information from professionals byphone. Ability to function effectively with frequent interruptions anddirection from multiple team members. More than 50% of work time isspent in front of a computer monitor. Must be able to lift, move, or carryobjects of varying size, weighing up to 10 lbs. Some travel required (upto 25%) including occasional overnight.

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time beupdated.

HIRING RANGE: