Commercial Population Health and Quality Manager

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Presbyterian is seeking a Commercial Population Health and Quality Manager

PHP seeks a Commercial Population Health and Quality to lead the implementation of cross-departmental programs and services to achieve optimal clinical and utilization outcomes for commercial members. The lead will represent the work of the population health and quality department to commercial clients and lead the development of proposal responses and reporting packages that demonstrate the value of PHPs offerings.

Some key responsibilities include:

• Leads the design, implementation, tracking, and evaluation of the population health and quality approach for commercial members

• Designs solutions that meet the specific needs of commercial accounts

• Oversees the implementation of analytics and reporting approaches to convey the value of PHPs population health and quality programming to commercial clients

• Serves as the lead population health and quality contact for commercial clients, regularly meeting with clients in the field to understand priorities, build relationships, and convey PHPs value

• Serves as the author of proposal responses and related to commercial population health and quality

• Maintains knowledge of up-to-date best-practice approaches to achieving best in class clinical and utilization outcomes for the commercially insured population

Qualifications:

• Masters degree in healthcare leadership, business, public health, or other relevant field required

• 3 years of relevant leadership experience required

• 3 years of Managed Care Organization (MCO) experience required

• Ability to derive population health insights from aggregated data

• Ability to develop KPIs and use quality metrics to drive a continuous quality improvement cycle

• Knowledge of value-based programs and contracting

• Excellent analytical and organizational skills with strong attention to detail

• Ability to present qualitative and quantitative data to a variety of high-level audiences

• Ability to meet tight deadlines

• Project Management skills preferred

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in ourPromise and CARES commitments.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.