Health Underwriting Director jobs in Virginia Beach, VA

POSITION SUMMARY

The Director of Population Health will provide leadership and expertise in the development, implementation, and optimization of Population Health Management. This position reports to Chief Operations Officer.

This position works to improve healthcare outcomes for specific groups of patients as identified through various program initiatives. The Director of Population Health is committed to leveraging Health Information Technology for quality improvement, research, and practice workflow by developing outreach process improvements, team‐based care, encouraging patient engagement, and analyzing quality data and measurements.

PRIMARY ACCOUNTABILITIES

Achieve Results

• Actively seeks opportunities to improve financial outcomes, engaging staff in the process.
• Establish a plan in performance which identifies goals, interactions and measures.
• Establish a planned care model with practices in integrating administrative, financial, and clinical systems for better performance and improved outcomes.
• Utilize available tools to assist clinicians with capturing and analyzing population‐based data to:

o support practices with data‐driven decision making and direct improvement efforts

o support practice leadership develop the skills to interpret and act on quality metric data with performance management tactics.

o support the efforts around care coordination utilizing population health management tools for identifying and stratifying patient risk and enhance patient engagement to increase self‐ management capacity.

• Prepare practices to continue the transformative activities that demonstrate consistent improvement on performance and quality measures.
• Provide support for other Chesapeake Health Care Departments

Operational Excellence

• Provide leadership, direction and coordination of operations programs, finances and human resources for area of responsibility.
• Demonstrates an advanced knowledge of EHR and various platform systems and their role in improving healthcare outcomes.
• Demonstrates utilization of data for Performance Improvement, HRSA, HEDIS, MDPCP and JC initiatives.

Relationships

• Develop and maintain favorable internal relationships, partnerships with co-workers, including clinic managers, nursing staff, providers and corporate office staff.
• Engages staff and others stakeholders in continuous improvement of systems and processes; manages resources for staff participation in improvement in activities.
• Develop and maintain favorable external relationships with vendors, contractors, and related resources.
• Serve as a representative of CHC Population Health in order to facilitate the shared interests and relationship between parties.

Leadership & Stewardship

• Remains current of new trends and best practice and incorporates into Population Health workflow.
• Provides opportunities to aspiring staff to develop skills to meet career goals.
• Ensures all actions, job performance, personal conduct and communications represent the organization in a highly professional manner at all times.
• Upholds and ensures compliance and attention to all corporate policies and procedures as well as the overall mission and values of the organization.

PRIMARY TASKS AND DUTIES

· Assess quality measures and coach clinic staff to provide effective ongoing monitoring.

· Guide clinic staff and leadership on the implementation of best practices. Address barriers to effective implementation of improvement processes; propose solutions for practices/health centers to consider in addressing barriers.

· Advise individual clinical sites on the implementation of the interventions and measures, sharing specific best practice examples.

· Encourage practice site leadership to identify existing data sources to minimize the burden of data collection and identify opportunities to efficiently retrieve and collect data to support quality improvement activities.

· Evaluates metric tools in EHR (Quality Management tab, HEDIS and UDS measures, etc.)

· Monitors referral platform; analyze and report utilization of data

· Review HEDIS tracking progress and monthly progress reports.

· Chair Data Committee

· Contribute data and analyzes for Joint Commission, HRSA and insurance companies.

· Demonstrates added value in developing specific strategy, program outcome targets and return on investment approach.

· All other duties as assigned.

ESSENTIAL FUNCTIONS/KEY COMPETENCIES

• Ability to prioritize workload as appropriate to ensure on‐time project completion
• Proficiency in Microsoft Office Professional products.
• Excellent verbal/written communication, interpersonal, analytic, and customer service skills
• Attention to detail, accuracy, and issue resolution.
• Ability to create and analyze reports for various platforms
• Ability to use data to drive change
• Ability to build support for and facilitate change
• Ability to work effectively on simultaneous projects with competing priorities
• Ability to function in a team‐based work environment collaboratively and collegially
• Ability to generate trust and build collaborative relationships with internal and external colleagues

POSITION REQUIREMENTS

Education

· Bachelor’s degree in nursing preferred or health care management, clinical profession, or related field

Experience

· 15 years experience in health care setting

· Experience in Microsoft operating system

· Reporting and data mining

· Working knowledge of process improvement methodology

Job Type: Full-time

Pay: $90,000.00 - $120,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• 15 years of health care expereince

Education:

• Bachelor's (Required)

Ability to Relocate:

• Salisbury, MD 21804: Relocate before starting work (Required)

Work Location: In person