Population Health Director

This position is incentive eligible.

Salary Estimate: $102960.00 - $160617.60 / year
Learn more about the benefits offered for this job.

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Introduction

Want to join a team of daring managers who care without reservations or limits? Our HealthONE Colorado Care Partners team is looking for a(an) Population Health Director. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years.

Benefits

HealthONE Colorado Care Partners, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of care and save lives across the country? Apply today to our Population Health Director and be a part of the innovation of ideas.

Job Summary and Qualifications

The Director of Population Health reports to the Vice President of Colorado Care Partners. The Director of Clinical Operations is responsible for developing, implementing and executing the Clinical Integration and Risk Adjustment Programs in collaboration with the Colorado Care Partner’s Vice President, Chief Medical Officer, Administrative Director of Finance and Operations, Board of Directors, Quality Team and Coding personnel. Administrative lead for CCP’s Quality Committee and Joint Operating Committees with payer partners. Program champion for clinical leaders of practices participating in the CCP Clinically Integrated Network and Accountable Care Organization.

General Responsibilities:

• Collaborates with CCP Vice President, Chief Medical Officer, Administrative Director of Finance and Operations and the Board of Directors to set CIN and ACO organization strategy and key initiatives.

• Responsible for leading the development, tracking, and implementation of the network’s quality, cost savings, risk strategy and outreach priorities.

• Leads the day-to-day operations of the clinical department staff to ensure compliance with CCP policy, HCA legal and payer contract requirements. Manages the Clinical Pharmacist, Risk Adjustment Program Manager, Nurse Care Navigator and Quality Manager.

• Responsible for the education and training processes for clinical and risk program implementation with all participating physician practice sites. Educates physicians and network on contracting, including but not limited to upside and downside risk, PMPM benchmarking, Care Coordination Fees, Shared Savings and attribution.

• Develops the annual scorecard to benchmark network performance to dictate monthly, quarterly and annual payments and leads the Primary Care Advisory Committee (PCAC) for scorecard review and approval.

• Leads evaluation of the clinical and risk program initiatives for effectiveness and manages annual process to assess and improve the clinical quality and risk program.

• Identifies best practices in regard to the delivery of high quality, cost-efficient care in the hospital and physician practice settings.

• Collaborates with CCP and HCA VBE Analytics to develop reports and conduct business analysis of clinical and risk program priorities. Analyzes and interprets clinical quality, cost, and utilization data, and sets or adjusts program strategy accordingly.

• Serves as primary liaison for the Payers, our provider network, and Health System

• Manages payer contracts and clinical meetings successfully to meet quality cost, and performance objectives for attributed populations. 

• Responds to Regulatory Compliance changes and requirements as needed.

• Manages monthly Joint Operating Committee meeting with Payer Partners, including action planning for any clinical program needs.

• Onboards new clinics for Value-based Care understanding and collaborates with Director of Business Development to support network retention and growth

• Serves as the main point of contact for PSG's Primary Care Network Medicare Advantage and Commercial performance and works in conjunction with Division Director for process improvement and performance analysis

 Basic Qualifications:

• Experience leading population health/value based care efforts for a similar organization, including 5+ years in a management, leadership or consulting role. Accountable Care Organization (ACO), managed care, or physician group practice experience required.

• Progressive success leading clinical, administrative or finance-related functions within value-based care.

• Ability to think strategically, implement plans and manage performance expectations

• Ability to assess competing priorities, manage workflow and meet operational deadlines in a complex organization

• Excellent interpersonal skills, as demonstrated by the ability to work effectively with physician partners, individuals and/or teams, across disciplines

• Proven verbal and written communication skills, comfort in presenting complex material to a variety of audiences

• Proficiency in MS Office Suite – Word, Excel, PowerPoint, Outlook. Familiarity with EMR, CRM and business analytics software.

 Ideal Qualifications:

• Master’s degree preferred (health administration, business, nursing)

• Experience with Medicare program management, health plan leadership or development, or provider contract management will be highly valued

• Professional experience with Patient-Centered Medical Homes, HEDIS measures, and with National Committee for Quality Assurance standards

• Intellectual curiosity and persistence, and creativity in problem solving

• Desire to work in and lead a highly matrixed and collaborative environment, requiring transparency and teamwork to accomplish nearly all tasks

• Ability to understand physician practice or insurance carrier business issues

• Comfort working in a fast-paced, deadline driven environment with a cross-functional team

 As part of HCA Healthcare, we at HealthONE® serve the metro Denver area as the largest healthcare system, with more than 11,000 employees. Our system includes eight hospital freestanding emergency departments and numerous ambulatory surgery centers, eight CareNow urgent care centers and occupational medicine clinics, physician practices, medical imaging centers and AirLife Denver, which provides critical care air and ground transportation serving Colorado and surrounding states.

Currently,we provide careers for more than 11,000 area residents and pay more than $950 million annually toward salaries, wages, and benefits. Our workforce includes physicians, nurses, lab technicians, therapists, and imaging staff, as well as office-based and non-clinical positions. Beyond the new facilities and the workforce offerings, we also provided $7.7 million to local organizations to fund a variety of programs as one of the top ten corporate philanthropists in the metro Denver area.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Unlock your potential with a leading healthcare provider dedicated to its patients, colleagues and communities. Help guide our team as a(an) Population Health Director and help us improve more lives in more ways.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.