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SCAN Health Plan

Director Population Health (Remote)

SCAN Health Plan, Long Beach, California, us, 90899


SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere.The JobResponsible for implementing Population Health Management (PHM) strategy to execution in collaboration with internal business/IT stakeholders within the Health Plan and with external stakeholders and provider groups. Define and consolidate PH strategy, facilitate cross-functional discussions based on Population Health and NCQA guidelines/standards. Facilitate cross-functional teams to share insights, design solutions and implement solutions and processes.You WillDefines and leads implementation of PHM strategy rooted in data.Leads PHM-dedicated team to consolidate and synthesize cross-functional inputs to build cohesive strategic plan.Responsible for leading day to day strategy to execution for all PHM programs and services in collaboration with internal business/IT stakeholders and external provider groups.Performs root cause analysis for PHM opportunities using relevant techniques and data.Understands and applies PHM and NCQA guidelines/standards for the identification of business needs, data needs and provider needs to identify opportunities and develop solutions and processes.Synthesizes information and partners with internal and external teams to create business and functional specifications/requirements.Collaborates with Senior Leadership to align on PHM interventions and company direction.Analyzes data, translates insights from the data, coordinates data collection and analysis to measure impact of designed interventions.Partners with project management to create an action plan for implementing recommendations.Fosters positive working relationships with internal and external stakeholders.Communicates effectively with stakeholders at all levels to identify needs and evaluate alternative business solutions.Continually seeks opportunities to increase customer satisfaction and deepen client and vendor relationships.Functions as an expert in process redesign and process expert to the team.Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.Actively supports the achievement of SCAN’s Vision and Goals.Other duties as assigned.Your QualificationsBachelor’s degree in a relevant subject area such as Public Health, Nursing, Health Administration, Social Work, Business Administration, or related field. MBA is preferred.Proficient in applications (i.e. Visio and Workflow Diagrams).8+ years of professional experience.8+ years of healthcare experience.Relevant experience in the management of population health related programs.Strong understanding of Project Management discipline.Excellent presentation skills.Ability to communicate difficult/sensitive information tactfully.Ability to facilitate effective cross functional team interaction.Strong experience in writing business and functional requirements.What's in it for you?Base salary range: $125,400 to $200,600 annuallyWork Mode: RemoteAn annual employee bonus programRobust Wellness ProgramGenerous paid-time-off (PTO)Excellent 401(k) Retirement Saving Plan with employer match and contributionRobust employee recognition programAn opportunity to become part of a team that makes a difference to our members and our community every day!We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives.SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. A background check is required.

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