Manager of Population Health- Somerset, NJ

at  RWJBarnabas Health

JOB OVERVIEW:

The Manager of Population Health, is responsible for the successful operation of activities of major significance to the organization. The candidate will lead programs, initiatives, and projects; and will be performing functions that enable the success of key business processes and practices. This position offers exposure to several high functioning departments, ambulatory groups, joint-ventures, and community partners looking to monitor and improve quality performance for their MSSP, Commercial, and Managed Care populations.

ESSENTIAL FUNCTIONS:

• Lead and develop a team of professionals responsible for the quality improvement activities of our Ambulatory Groups, Joint Ventures, and Clinically Integrated Network and its performance in our various value-based programs with different Payors and CMS.
• Lead the improvement of all the participating pay-for-performance programs, build workflow and deploy resources accordingly.
• Manage the daily operations of the team and ensure schedules and performance standards are realistically set and attained.
• Partner with other department lead to establish business goals for department/function/organizational unit and monitor status against goals.
• Partner with Practice Optimization and Clinical team to ensure the practices are well-coordinated in total care.
• Act as the liaison between Payors and Health System in various Quality VBP and Pay-for-Performance Program.
• Conduct practice education on various quality measures for both Gov t and Commercial programs. Have broad understanding of supplemental data submission.
• Lead multiple medical record retrieval project throughout the year, to close gaps in care, improve risk scores, and STAR ratings.
• Assist with other various programs as it gets introduced through the Population Health Department.

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.