Bachelor's degree in Nursing, Health Care Administration, or related field required; advanced degree preferred.
Experience in healthcare quality improvement and performance transformation preferred.
Intermediate to advanced analytic skills and knowledge of research methods.
Familiarity with medical terminology, ICD-10, and CPT coding strongly preferred.
Understanding of UDS, HEDIS, and NCQA PCMH accreditation standards.
Excellent verbal and written communication skills; detail-oriented.
Strong working knowledge of Microsoft Office applications.
Responsibilities
Assist in developing project scopes and statements of work.
Monitor project progress by tracking milestones and resolving issues.
Develop workplans and protocols to guide team activities.
Coordinate data collection and reporting for quality performance indicators.
Analyze complex healthcare data to identify best practices and trends.
Validate data accuracy using electronic health records and population health systems.
Lead quality improvement initiatives and assist teams in tracking metrics.
Benefits
12 Paid Holidays
Vacation and sick leave
Health Insurance Coverage
Flexible Spending Account
Life Insurance
Employee Assistance Program
Full Job Description
Position Summary:
We are looking for a Population Health Manager for our Manhattan location. They will collaborates with a multidisciplinary staff to meet Population Health and quality improvement goals through projects aligned with the mission of Apicha and its strategic goals. The Population Health Manager supports the implementation of strategies to drive clinical transformation toward value-based care delivery and addressing underlying health disparities and social determinants of health. The role encompasses analysis and review of trends and projections of key clinical metrics, supporting new program development, and making recommendations to ensure the viability of the organization over the short and long term. The position requires an understanding and awareness of a dynamic healthcare landscape, including evidence-based practice, value-based payment, and delivery system transformation in order to achieve high quality of care.
The major duties of the position include, but are not limited to:
Project Management
Assist in the development of project scopes and statements of work under the guidance of the Director of Population Health Management
Monitor project progress by tracking milestones, resolving problems, and coordinating status update meetings with stakeholders
Development of workplans and protocols designed to guide team activities, ensuring delivery of key performance initiatives and goals
Coordinate data collection and reporting of member enrollment and quality performance indicators with Managed Care Organization value-based initiatives and related reviews
Data Analysis and Validation
Analyze complex healthcare data from multiple, disparate sources to identify best practices, care delivery trends and clinical practice variation
Utilize Excel and/or business intelligence tools (Tableau, Power BI, SAS) in the development of presentations, research abstracts, and agency-wide reports
Validate data using various electronic health record and population health management systems and identify data discrepancies with demographic or clinical information
Support efforts to ensure data integrity and validity, and perform ongoing quality assurance of data and reports, including NCQA PCMH accreditation, HEDIS/QARR, UDS, and HIV Treatment Cascade
Validate data accuracy of Population Health dashboards supporting improvement of patient health outcomes
Support implementation process and data optimization efforts to ensure data is accurate and reliable for use in performance improvement efforts
Quality Improvement
QI/QA activities shall be a part of the PHM's daily responsibilities.
Ensure implementation and update of QI/QA operating procedures and completion of assessments and reporting QI/QA outcomes
Lead QI initiatives by applying quality improvement methodologies (i.e., RCA, PDSA, DMAIC) and assists clinical and non-clinical teams in developing appropriate tracking metrics to monitor performance and ensure compliance with the Apicha QI/QA Plan
Assist Director of Medicine in the performance of root cause analyses and recommends appropriate actions to improve clinical and non-clinical outcomes; develops visual presentations of current QI projects and accomplishments
Collaborate with clinicians and staff to conduct quality assurance activities to meet various external reporting requirements including PCMH accreditation, HIVQUAL, UDS and RSR
Staff Management
Supervises Quality Improvement Coordinator (QIC) in meeting project goals and performance outcomes
Qualifications:
Bachelor's degree in Nursing, Health Care Administration, or related field required; advanced degree in related field, such as MS, MPH, or MA, strongly preferred.
Experience managing projects in health care quality improvement, performance improvement, and/or practice transformation preferred.
Intermediate to advanced analytic skills and knowledge of research methods, data collection, and analytical methodologies
Ability to adapt with evolving Population Health quality performance standards and measures
Familiarity with medical terminology, ICD-10, and CPT coding strongly preferred
Understanding of UDS, HEDIS, and NCQA PCMH accreditation quality standards
Excellent verbal and written communication skills; detail oriented; excellent proofreading and editing skills
Strong working knowledge of Microsoft Office applications (Word, Excel, PowerPoint)
Ability to work independently and in a team environment; ability to work with multidisciplinary staff with diverse backgrounds
Ability to stand, walk or sit for an extended period of time
Ability to hear within normal range
Ability to see within normal range
Noise level is moderate
At Apicha, we believe that serving the needs of our staff is just as important as serving the needs of underserved people of New York City as such we are proud to offer our team members a competitive employee benefits package which include 12 Paid Holidays, vacation and sick leave, Health Insurance Coverage, Flexible Spending Account, Life Insurance, Employee Assistant Program just to name a few.
