UnitedHealthcare
Associate Director, Population Health - Remote in New Mexico
UnitedHealthcare, Albuquerque, New Mexico, United States, 87101
Overview
Population Health Manager - Remote in New Mexico. Join UnitedHealthcare to help simplify the health care experience and improve health outcomes by focusing on health promotion, chronic disease management, behavioral health needs, and social determinants of health (SDoH). This leadership role coordinates an interdisciplinary approach to care in the New Mexico health plan, engaging with providers, community resources, and the clinical team to inform a metrics-driven population health improvement plan. Primary Responsibilities
Effective deployment and management of a program at the practice and community levels through strategic partnerships with practitioners, community partners, and internal stakeholders Assesses trends in population/quality measures and identifies opportunities for quality improvement Designs quality transformation through targeted interventions related to HEDIS/state-specific population/quality measures Serves as subject matter expert (SME) for population health, preventive health topics; leads efforts with the clinical team to research and design educational materials Serves as liaison with key vendors supporting population health initiatives Consults with vendors and providers to design and implement initiatives to innovate and improve population health program measures Participates, coordinates, and/or represents the Health Plan at events, state meetings, and other outreach events focused on population health initiatives and disparity programs Identifies and addresses population-based member barriers to care and leads the team in identifying local strategies to overcome barriers and close clinical gaps in care Investigates gaps in clinical documentation where system variation has impact on rate calculation; implements corrective plans and monitors to resolution Creates presentations and works with data to formally present information to various stakeholders Required Qualifications
5+ years clinical or healthcare experience 5+ years of healthcare and/or insurance industry experience, including knowledge of regulatory and compliance 5+ years in a Manager/Director role with adaptable leadership skills and the ability to achieve results in a complex organization 3+ years of quality improvement/population health experience Experience creating presentations and working with data to present information to physicians, administrators, state regulators, other providers, and community partners Experience as a senior level advocate on behalf of the member and leading cross-departmental teams toward member resolution Proficient in MS Word and Excel (documents, formulas, and spreadsheets) Knowledge of population and public health in rural and urban settings Knowledge of social determinants of health in rural and urban settings in the US Southwest Region Ability to review data, make clinical interventions, and consult others Dedicated work area with privacy for information Currently reside in New Mexico Willing or ability to travel throughout New Mexico up to 25% of the time Preferred Qualifications
Current unrestricted RN licensure in NM or Licensed Clinical Social Worker (LCSW) or population health management experience Experience creating and executing a strategic plan with measurable outcomes Experience in Medicaid and/or Medicare Knowledge of clinical standards of care, preventive health standards, HEDIS, NCQA, regulatory requirements, population health approach and managed care Understanding and/or experience working with Native American and tribal communities Background in Managed Care Remote work adheres to UnitedHealth Group’s telecommuter policy Compensation and Benefits
Pay is based on factors including local labor markets, education, experience, and certifications. In addition to salary, benefits include a comprehensive package, incentive and recognition programs, equity stock purchase, and 401(k) contributions (eligibility requirements apply). Salary range for this role: $110,200 to $188,800 annually based on full-time employment. UnitedHealth Group complies with minimum wage laws where applicable. Company Information
At UnitedHealthcare, we are committed to helping people live healthier lives and addressing health disparities. UnitedHealth Group is an Equal Employment Opportunity employer; candidates are considered without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws. UnitedHealth Group is a drug-free workplace; candidates may be required to pass a drug test before employment. Seniority level
Director Employment type
Full-time Job function
Health Care Provider Industries Medical and Diagnostic Laboratories
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Population Health Manager - Remote in New Mexico. Join UnitedHealthcare to help simplify the health care experience and improve health outcomes by focusing on health promotion, chronic disease management, behavioral health needs, and social determinants of health (SDoH). This leadership role coordinates an interdisciplinary approach to care in the New Mexico health plan, engaging with providers, community resources, and the clinical team to inform a metrics-driven population health improvement plan. Primary Responsibilities
Effective deployment and management of a program at the practice and community levels through strategic partnerships with practitioners, community partners, and internal stakeholders Assesses trends in population/quality measures and identifies opportunities for quality improvement Designs quality transformation through targeted interventions related to HEDIS/state-specific population/quality measures Serves as subject matter expert (SME) for population health, preventive health topics; leads efforts with the clinical team to research and design educational materials Serves as liaison with key vendors supporting population health initiatives Consults with vendors and providers to design and implement initiatives to innovate and improve population health program measures Participates, coordinates, and/or represents the Health Plan at events, state meetings, and other outreach events focused on population health initiatives and disparity programs Identifies and addresses population-based member barriers to care and leads the team in identifying local strategies to overcome barriers and close clinical gaps in care Investigates gaps in clinical documentation where system variation has impact on rate calculation; implements corrective plans and monitors to resolution Creates presentations and works with data to formally present information to various stakeholders Required Qualifications
5+ years clinical or healthcare experience 5+ years of healthcare and/or insurance industry experience, including knowledge of regulatory and compliance 5+ years in a Manager/Director role with adaptable leadership skills and the ability to achieve results in a complex organization 3+ years of quality improvement/population health experience Experience creating presentations and working with data to present information to physicians, administrators, state regulators, other providers, and community partners Experience as a senior level advocate on behalf of the member and leading cross-departmental teams toward member resolution Proficient in MS Word and Excel (documents, formulas, and spreadsheets) Knowledge of population and public health in rural and urban settings Knowledge of social determinants of health in rural and urban settings in the US Southwest Region Ability to review data, make clinical interventions, and consult others Dedicated work area with privacy for information Currently reside in New Mexico Willing or ability to travel throughout New Mexico up to 25% of the time Preferred Qualifications
Current unrestricted RN licensure in NM or Licensed Clinical Social Worker (LCSW) or population health management experience Experience creating and executing a strategic plan with measurable outcomes Experience in Medicaid and/or Medicare Knowledge of clinical standards of care, preventive health standards, HEDIS, NCQA, regulatory requirements, population health approach and managed care Understanding and/or experience working with Native American and tribal communities Background in Managed Care Remote work adheres to UnitedHealth Group’s telecommuter policy Compensation and Benefits
Pay is based on factors including local labor markets, education, experience, and certifications. In addition to salary, benefits include a comprehensive package, incentive and recognition programs, equity stock purchase, and 401(k) contributions (eligibility requirements apply). Salary range for this role: $110,200 to $188,800 annually based on full-time employment. UnitedHealth Group complies with minimum wage laws where applicable. Company Information
At UnitedHealthcare, we are committed to helping people live healthier lives and addressing health disparities. UnitedHealth Group is an Equal Employment Opportunity employer; candidates are considered without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws. UnitedHealth Group is a drug-free workplace; candidates may be required to pass a drug test before employment. Seniority level
Director Employment type
Full-time Job function
Health Care Provider Industries Medical and Diagnostic Laboratories
#J-18808-Ljbffr