Population Health Manager - Desert Sage Health Centers

At Desert Sage Health Centers we are different in a very good way. In communities like ours, co-workers and patients are our friends and neighbors. Sometimes they are family. And we take care of each other like family. If you’re tired of the typical workplace grind, we have something very different in store for you. Reasonable hours, a devoted team, a commitment to improvement, and believing in the value of every person – whether employee or patient – are just a few of the qualities for which we’re known. We’re a human potential company. Join us and experience the difference of the Desert Sage Way. We can’t wait to meet you.

Desert Sage Health Centers believes in patient-focused care delivered through a caring team of competent and caring health care professionals. As a Patient Centered Medical Home (PCMH), level two recognized organization, Desert Sage Health Centers prides itself in the quality of care it delivers to more than 6,400 annual patients at three health center site locations. Our integrated system emphasizes prevention, healthy living and is designed to reduce health care disparities and avoid unnecessary trips to emergency rooms or other more costly forms of care.

POSITION SUMMARY:

Responsible for improving team-based care through oversight and continuous improvement of
Desert Sage Health Center’s (DSHC) population health, care management, care coordination,
and related ancillary services. This position will support and enhance collaboration among
providers, clinical support staff, administrative staff, and the care coordination/care
management/outreach teams. The Population Health Manager works collaboratively with other
managers to implement defined workflows within and across departments to implement DSHC's
population health strategies and initiatives.

PRIMARY DUTIES AND RESPONSIBILITIES
Program Oversight:
 Supervise and provide daily oversight and continuous improvement in workflows of the
team members responsible for care coordination, care management, outreach, care gap
closures, and other ancillary team functions
 Implement relevant PCMH competencies and VBC transformation initiatives within the
care coordination, care management, and outreach programs
 Develop and implement panel management best practices and standard workflows toward
PCMH and population health objectives
 Establish strong relationships with providers, clinical support staff, administrative staff,
and leadership
 Develop internal and external materials and communication plan to promote the activities
of DSHC towards a population health model.
 Implement strategies to address social determinants of health and promote health equity.
 Ensure programs and strategies of the population health team are financially sustainable,
and work closely with Patient Accounts team on relevant billing procedures

Project Management:
Design work plans, workflows, and processes by which these programs would be
managed
 Develop and implement initiatives to improve performance against value-based contract
metrics
 Document key processes, work plans, and timelines associated with the development of
population health interventions.
 Engage internal and external partners to monitor population health pilot activities,
identify problems with work processes, and ensure strategic goals are met
 Provide guidance to team members in developing evidence-based or promising practice
clinical programs for specific patient populations
Reporting and Compliance
 Work collaboratively with the Quality & Development Director to ensure a timely,
accurate, and actionable data strategy for evaluation of PCMH and VBC outcomes and
effectiveness
 Comply with all payer and regulatory requirements associated with population health.
 Track progress of action plans, present outcomes to peers, the leadership team, and
outside partners
 Responsible for additional population health management tasks and initiatives defined by
management
 Serve as the superuser of population health software, and coach team members to
optimize its use to support population health objectives.
Desert Sage Values
 Employee knows DSHC’s 5 core values and demonstrates the specific valued behaviors on a daily
basis.

MINIMUM QUALIFICATIONS
 Bachelor's degree in a health-related discipline or equivalent combination of education and
experience, master's degree preferred
 PMP credential or demonstrated project management experience
 Demonstrated change management and/or process improvement expertise; lean
experience a plus but not required
 Basic working knowledge in any of the following areas: Medicare advantage, Medicare
Shared Savings Program (MSSP), Medicaid programs, managed care regulations, quality
reporting, care management, population management, ACO strategy implementation and
operations, and supporting providers in risk-based contracts.
 Strategic and entrepreneurial outlook with strong collaboration skills
 Demonstrated understanding of healthcare metrics and use of analytical skills
 Excellent presentation skills
 Experience using Microsoft Excel

Benefits include paid holidays, vacation, health and dental insurance. Salary is DOE.

If you are self motivated, compassionate and ready to give back to your community, and have the necessary training, come join our team!

Desert Sage Health Centers provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

 

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