Director of Population Health, Value-Based Care & Clinical Integration

Job description

Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We’ve combined a family-friendly culture with a passion to provide the best care, which creates an environment where both patients and team members feel valued. Crouse Health offers a full range of general and specialty care, inpatient and outpatient services, as well as community health education and outreach programs.
Crouse Health’s Clinically Integrated Network team is hiring a Director of Population Health, Value-Based Care & Clinical Integration .
Pay Range: $170,000.00 - $200,000.00 / annual
Schedule: Full-Time, Monday-Friday, 8:00am-4:30pm
Position Responsibilities:
• Develops internal systems utilizing appropriate resources to support the operating needs of the assigned department(s) of responsibility including, but limited to: finance, planning, marketing, advertising, information systems, human resources and other support systems. Coordinates financial and budgetary acquisitions, allocations and utilization of resources needed for quality, cost-effective, program(s)/service(s).
• Provides strategic guidance to leadership staff within all areas of responsibility.
• Develops, plans, and evaluates short, mid and long-term goal setting and goal achievement through facilitation and guidance consistent with the strategic plan.
• Maintains current industry knowledge serving as a subject matter expert; ensures compliance with all federal/state/local laws, regulatory/accrediting guidelines and professional standards within all areas of responsibility.
• Attends and actively participates in hospital and performance improvement councils and committees as requested.
• Proactively communicates with staff and keeps them informed on a regular basis or as needed; updates staff regarding policy changes in specialized areas.
• Develops and utilizes department policy statements, scope of service, quality indicators and updates; revises as necessary.
• Performs staff management functions related to employee selection, on-boarding/orientation, coaching/development, staffing, work assignments, performance management and goal alignment as guided by hospital policy and procedures and collective bargaining unit agreement (when applicable).
• Participates, collaborates and actively engages in meetings to achieve goals and mutually beneficial outcomes.
• Conducts regular staff meetings to disseminate hospital and/or department/division information and allows for discussion of staff concerns needing clarification or resolution.
• Stays abreast of industry and market trends, communicates trends to the boards and recommends modifications in direction, as needed.
• Develops and maintains effective, comprehensive utilization management and quality management systems with components which facilitate credentialing, utilization review, costs data, management, member performance feedback and communications and other administrative functions.
• Assists the boards and their committees in identifying, communications and promoting methods to improve quality of health care provided by its members.
• Develops and maintains an effective user grievance system which assures timely response and resolution.
• Fosters and encourages good public relations with all current and potential customers. Initiates, develops and maintains cooperative relationships with local business community.
• Recommends policies for board approvals. Communicates and insures compliance with policies and procedures.
• Assures compliance with Federal and state regulations.
• Identify key needs across Crouse Health’s member populations and develop scalable, data-driven programs to improve outcomes and reduce the total cost of care for population health.
• Promote collaboration and alignment across physicians, practices and health systems partners.
• Design evidence-based protocols to streamline chronic disease management.
• Translate utilization, cost, and quality data into actionable insights for physicians.
• Support payor partnerships and serve as the primary point of contact.
• Facilitate process improvement activities in support of clinical integration initiatives.
• Other duties as assigned by Senior Leadership.

Position Requirements:
• Bachelor’s degree in a related field required.
• Master’s degree (MS, MPH, MBA) or other licensed clinical degree (LPN, RN, NP) preferred.
• Minimum five years’ experience in a related field with prior experience in population health, value-based care performance, clinical integration, utilization and care management, physician engagement and working directly with payer partners.
• Must have experience managing projects in health care quality improvement and management, performance improvement, and/or practice transformation.
• Proven business acumen and analytical skills including an understanding of clinical data management and analysis.
• Excellent written and verbal communication skills and strong facilitative interpersonal skills.
• Excellent organizational and problem-solving skills.
• Current knowledge of governing regulations, third party payer utilization, quality mandates, reimbursement requirement and standards associated with Care Management and Utilization Management.
• Demonstrated ability to interact with physicians, patients, healthcare providers and team members.

Benefits Overview:
• Medical, Dental, Vision, FSA, and 401K.
• Company paid life insurance.
• Tuition Assistance and Workforce Development Opportunities.
• Crouse Health Employee Assistance Program.
• Employee discounts on any Inpatient or Outpatient service, hospital cafeteria and pharmacy, and certain retailers.
• YMCA Subsidy program.