Population Health and Equity Leader - Remote

Summary of Job

Serve as advisor on health equity, SDOH, and population health programming, collaborating with a wide range of internal and external stakeholders, responsible for EmblemHealth's strategy and mission. Develop and lead programs with focus on improved health outcomes of groups across the community; monitor and identify individual patients within that group based on medical conditions, age, and location. Use data to ensure an equal distribution of health resources among all members of our insured community. Oversee quality improvement to improve care, reduce costs, and deliver evidence-based outcomes.

Responsibilities

* Participate and lead the development, performance, and maturation of existing programs.
* Provide subject matter expertise in areas such as health equity analytics, community health, bias reduction, and diversity equity and inclusion.
* Lead and/or serve on a variety of appropriate internal and external committees to represent Population Health.
* Review and analyze population and patient data related to clinical care and outcomes to evaluate performance, reveal trends and identify opportunities.
* Collaborate with internal and external organizations to execute innovative programs and build partnerships.
* Drive change management to balance community needs with government system changes.
* Lead the population health strategy and NCQA's Population Health Management program.
* Collaborate with clinical, operations, and community teams to enhance the patient experience and reduce per member cost.
* Identify root causes, analyze data, and develop metrics to reduce health disparities.
* Prepare reporting to present findings and highlight successes and opportunities for improvement or intervention.
* Engage with diverse communities to set priorities and drive planning efforts.
* Monitor performance indicators to ensure exceptional quality outcomes.
* Prepare and execute operational plans to achieve measurable objectives on an established timetable.
* Develop programs to address barriers to healthcare as determined by patient need.
* Assist in applying for and reporting on grant-funded programs.
* Actively participate in quality improvement committees, subcommittees and workgroups to support process improvement.
* Review and update operational processes for quality management activities. Define and document newly established processes.
* Remain current with new trends and best practices and incorporates into Population Health programs.
* Support preparation, organization and follow-up in acquiring and maintaining NCQA accreditation and compliance with local, state and federal regulatory authorities, includes support of the health plan's HEDIS, QARR, and Star processes.