Director Population Health Operations and Clinical Support at Texas Children's Careers

Bellaire, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Mar, 26

Salary

0.0

Posted On

07 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Population Health Management, Clinical Support, Leadership, Community Partnerships, Health Screenings, Outreach Campaigns, Social Determinants of Health, HEDIS Metrics, Care Delivery, Communication, Collaboration, Presentation Skills, Problem Solving, Intervention Development, Cost Reduction, Timeliness Measures

Industry

Hospitals and Health Care

Description

We’re searching for a Director of Population Health Operations and Clinical Support, someone who works well in a fast-paced setting. In this position, you'll develop and oversee a comprehensive population health management strategy to improve the health and wellbeing of STAR Kids and STAR/CHIP members, including social determinants of health. This position will help to define population health initiatives and create a structured, scalable approach to prioritizing and monitoring population health initiatives through appropriate outreach campaigns, health screenings and referral programs Think you’ve got what it takes? Job Duties & Responsibilities Ensures STAR Kids timeliness measures are met for new member outreach and initial SAI timeliness Ensures Member complaints are received timely, and all interventions and resolutions are appropriate Ensures PDN/LTSS Specialty Care Team works collaboratively with internal and external partners and appropriate care delivery. Reduces avoidable costs of care Creates and manages a population health strategy by identifying and addressing specific needs of STAR Kids and STAR/CHIP subpopulations. Integrates population health principles and evidence-based research to develop interventions Through call campaigns, develops new and enhance existing interventions to improve HEDIS metrics, clinical outcomes, and reduce cost Oversees development of social determinants of health program, including MCO outreach and partnerships with community organizations Represents MCO as thought-leader and community partner for SDOH needs and healthy equity Collaborates effectively with Executive Leadership and other leaders of the system. Utilizes presentation skills to demonstrate need and propose solutions Communicates positively and appropriately to work effectively as a team. Provides appropriate information at the appropriate level and audience Skills & Requirements Bachelor's degree in nursing or social work required Master’s degree in nursing preferred 5 years of supervisory/formal leadership experience required 4 years of progressively responsible professional experience in population health, community public health, ambulatory care, or healthcare administration required Experience with NCQA accreditation process requirements preferred

Responsibilities

The Director will develop and oversee a comprehensive population health management strategy aimed at improving the health and wellbeing of STAR Kids and STAR/CHIP members. This includes defining population health initiatives and creating a structured approach to monitoring these initiatives through outreach campaigns and health screenings.