Director of Population Outcomes

This is a fully remote position, open to applicants in California, +1 more state.

📋 Description

• Reporting to the Vice President of Population Health at ConcertoCare

• Develop and oversee strategies aimed at addressing utilization and high-cost medical expenses for the designated market(s) population

• Ensure that essential elements of ConcertoCare’s Care Model are utilized by providers to enhance population impact

• Uphold the mission, vision, and values of ConcertoCare by delivering personalized, proactive care to high-risk patients

• Collaborate with the Population Outcomes Manager and work alongside the Market Medical Director(s) and other Directors of Population Outcomes

• Identify and assess impactable utilization trends

• Partner with interdisciplinary teams to devise and plan interventions

• Prepare case summaries for interdisciplinary discussions

• Conduct Population Surveillance on the designated market(s) population

• Leverage internal and external reporting tools to identify opportunities for reducing avoidable utilization

• Design, execute, and manage projects in collaboration with key leaders

• Work with the actuarial and medical economics team to uncover trends in cost and utilization data

• Compile data for utilization in Joint Operating Committee Meetings

• Enhance customer success by leading meetings with payer case management teams and community resources/vendors

• Manage and consolidate patient and MLR data, and create presentations for internal and external stakeholders

• Lead market-level medical expense management initiatives and presentations

⛳️ Requirements

• Graduation from an accredited nurse practitioner program

• Master’s Degree is required

• Board Certified Nurse Practitioner with active licenses in CA and/or WA or the capability to obtain immediate licensing

• Active license in the state of employment, or the ability to procure one

• A minimum of five years of clinical experience, including at least three years in a value-based care setting with experience related to Medical Expense or Total Cost of Care

• Experience in geriatric care is preferred

• Strong knowledge of Medicare and Medicaid is highly desirable

• Proven ability to manage multiple tasks concurrently with minimal supervision while meeting deadlines

• Experience in team leadership, especially in roles with indirect authority or within a matrixed organization

• Capability to demonstrate systems-level thinking and problem-solving while keeping individual patient care as a priority

• Proven expertise in reporting, analyzing, and designing initiatives based on data analysis

• Requires advanced technological proficiency, including comprehensive knowledge of Microsoft Office (Excel, PowerPoint, Word), familiarity with SharePoint, and commonly used mobile applications

• Demonstrated highly effective and professional verbal and written communication skills

• Ability to thrive in a fast-paced, dynamic environment while collaborating with multiple teams in designated market(s)

🏝️ Benefits

• Full healthcare coverage

• 401K with matching contributions

• A wide range of additional health, wellness, and financial benefits