Manager, Population Health

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

📋 Description

• Oversee the daily operations of the Ambulatory Population Health team, including effective workload distribution and monitoring of staff productivity.

• Collaborate on the development, execution, and assessment of ambulatory quality programs across all practices within Capital Health Medical Group.

• Standardize workflows related to population health, focusing on risk stratification, care management, transitions of care, and closure of quality measure gaps.

• Audit clinical data and health reports sourced from electronic medical records (EMR) and payer systems to identify patients for care management enrollment.

• Track team performance metrics in relation to external program requirements, HEDIS measures, and internal organizational targets.

• Facilitate patient care delivery across primary care, specialty practices, and community resources to address social determinants of health (SDOH).

• Collaborate with population health vendors to optimize care management systems, ensuring comprehensive and consistent documentation for accurate compliance reporting.

• Manage the talent lifecycle for the team, which includes interviewing, selection, onboarding, training, performance evaluations, and ongoing professional development.

• Create operational reference tools, training materials, and structured process improvement initiatives to enhance team performance.

• Assist in departmental budget management, program planning, and strategic allocation of resources.

• Carry out additional duties as assigned.

⛳️ Requirements

• Bachelor’s Degree in Nursing, Social Work, Public Health, or a related healthcare field.

• Valid Registered Nurse (RN) or Social Worker (LSW/LCSW) license in New Jersey and Pennsylvania, or currently pursuing PA licensure.

• AHA BLS - Healthcare Provider certification.

• Minimum of four years of clinical experience in acute care, ambulatory/outpatient settings, sub-acute rehabilitation, care management, managed care health plans, or similar environments.

• Proven knowledge of ACO models, MIPS compliance, HEDIS measures, and structured care coordination workflows.

• Strong understanding of workflow design with the ability to translate program objectives into operational workflows effectively.

• Familiarity with value-based care models, quality measures, care management, and transitional care.

• Practical skills in data analysis, including interpreting and extracting health reports.

• Proficient computer skills, including the ability to navigate various electronic medical documentation systems.

• Excellent verbal and written communication abilities, capable of conveying complex information clearly to a diverse audience.

• Demonstrated capability to autonomously direct daily work while fostering collaboration with peers and leadership.

• Proven ability to adapt quickly, manage multiple workflows simultaneously, and maintain effectiveness in a fast-paced, high-volume environment.

• Natural aptitude for building collaborative relationships across diverse teams while influencing, guiding, and motivating staff.

• Master’s degree in Nursing, Social Work, Public Health, or a related healthcare field (preferred).

• Certification in Case Management, Ambulatory Care, Care Coordination, or another relevant professional area (preferred).

• Two years of supervisory, team lead, or program management experience (preferred).

• Direct experience in a Population Health setting (preferred).

🏝️ Benefits

• Medical Plan

• Prescription drug coverage & In-House Employee Pharmacy

• Dental Plan

• Vision Plan

• Flexible Spending Account (FSA)

• Healthcare FSA

• Dependent Care FSA

• Retirement Savings and Investment Plan

• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance

• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance

• Disability Benefits – Long Term Disability (LTD)

• Disability Benefits – Short Term Disability (STD)

• Employee Assistance Program

• Commuter Transit

• Commuter Parking

• Supplemental Life Insurance

• Voluntary Life Spouse

• Voluntary Life Employee

• Voluntary Life Child

• Voluntary Legal Services

• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

• Voluntary Identity Theft Insurance

• Voluntary Pet Insurance

• Paid Time-Off Program