DescriptionJob Purpose: The Manager of Population Health is an RN leader responsible for population health operations, care management, quality performance, and value-based outcomes. This role leads gap-closure activities and partners with providers, clinic staff, health plans, and operational leaders to improve data capture and patient outcomes. The position sets annual goals aligned with organizational priorities.
This is a full-time, exempt position reporting to the Vice President of Medical Operations.
What You Will Do:
- Lead and supervise teams responsible for care management, patient outreach, care coordination, and closing gaps in care.
- Oversee organization-wide performance across quality incentive programs, value-based contracts, and payer quality initiatives.
- Monitor quality metrics, identify performance gaps, implement corrective action plans, and report progress to leadership and key stakeholders.
- Maintain subject-matter expertise in HEDIS, payer quality measures, population health standards, and value-based care requirements.
- Analyze electronic health record, health information exchange, payer, and other healthcare data to improve quality performance and support accurate incentive capture.
- Manage payer rosters, patient attribution, and care-gap reports while investigating and resolving data discrepancies.
- Maintain and communicate population health procedures, workflows, training materials, and the department's operational playbook.
- Coordinate the retrieval and submission of complete clinical documentation for quality-measure closure and supplemental data reporting.
- Communicate patient risks and care needs to clinical teams and coordinate appropriate interventions.
- Support accurate and timely reporting to health plans and value-based partners.
- Participate in applicable payer, quality-performance, and committee meetings.
- Promote integrated, whole-person care across Denova's service lines and attributed patient populations.
- Collaborate with clinical, operational, technology, and revenue cycle teams to standardize workflows and improve quality data capture.
- Lead clinical quality-improvement initiatives using performance and outcomes data to evaluate effectiveness and sustain progress.
- Educate providers and clinic teams on population health measures, documentation requirements, workflows, and strategies for improving performance.
- Perform other duties as assigned.
What We Need From You:
- Current, unrestricted registered nurse (RN) license in the state of practice is required.
- Bachelor's degree in nursing, healthcare administration, public health, or a related field preferred.
- Minimum of five years of healthcare experience, including management or supervisory responsibility.
- Demonstrated experience with population health, care management, quality improvement, or value-based care programs.
- Working knowledge of HEDIS and other healthcare quality measures, including documentation and data-capture requirements.
- Experience using electronic health records, payer portals, care-gap reports, and clinical performance data.
- Strong project management, communication, education, and change-management skills.
- Knowledge of clinical outcomes, utilization management, care management, and healthcare compliance requirements.
- Demonstrated leadership, independent judgment, and ability to foster cross-functional collaboration.
Your Work Schedule:
- Full-Time: Monday to Friday, with available schedules of 8:00 AM - 5:00 PM
- Flexibility: Hybrid work opportunities may be available after successfully completing your first 90 days, based on performance and departmental needs.
- Denova Headquarters - 3101 N Central Ave, Suite 500, Phoenix, AZ 85012.
- Perks of Being Part of Denova:
- Comprehensive low-cost medical, dental, and vision insurance.
- Generous retirement plan with a 3.5% company match.
- Secure your future with both long and short-term disability options
- Enjoy holiday pay, PTO, and life insurance benefits.
- We offer an employee wellness program and fantastic discounts for all Denova team members.
- And there's so much more waiting for you!
