Population Health Manager - $5000.00 Sign on Bonus

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Company: CVCH

Location: Wenatchee, WA 98801

Description:

Job Summary
The Population Health Manager will assist in improving health outcomes for CVCH patients by leading CVCH in successfully developing, implementing, and monitoring initiatives to meet requirements for value-based care incentive programs. Under the direction of the Chief Quality and Compliance Officer, they will ensure success in efforts to work with payers and Accountable Care Organizations (ACOs) in managing incentive plan goals and reporting, engage physicians and staff to facilitate completion of incentive-based care, manage value-based incentive program patient enrollment and rosters, develop and implement systems to engage patients in their healthcare through care coordination, care management, outreach, case management and enrollment, and direct efforts in managing identified chronic care or resource intensive patients. They will provide direct daily supervision of the Population Health Department.

Job Specific Competencies

1. Population Health Expert
a. Manages CVCH population health program
b. Chairs Population Health Steering Committee
c. Maintains up to date information on Population Health standards
d. Educates and involves staff in Population Health processes
e. Develops and supports organizational population health tools and processes
f. Active participant in committees, project work, and process change as appropriate/assigned
g. Serves as the primary CVCH contact for all value-based payors and ACO's
i. Assists with yearly evaluation and setting of incentive goals
ii. Coordinates tracking and reporting of incentive goals
iii. Coordinates with Finance for accounting and reporting of contract performance and revenue
iv. Coordinates with Billing and Coding related to coding, risk factor management
2. Project Management
a. Participates in the development and implementation of CVCH population health workflows and projects
b. Develops plans (statement of work) around proposed project, leads team, manages timelines, and reports out on progress
3. Directs Clinical Data and Report Development Activities
a. Ensures monitoring, analysis, management, and reporting out on clinical quality metrics
b. Establishes measures to monitor clinical quality
c. Ensures education of clinical staff on quality metrics
4. Supervisory Skills
a. Performs various administrative supervisory functions including monitoring and evaluating staff performance, establishing work priorities and coordinating schedules, maintaining personnel and payroll records and interviewing, hiring and training staff, and implementing corrective action when appropriate
b. Identifies goals and vision for team
c. Guides individuals and teams toward priorities
d. Clarifies roles and responsibilities of others
e. Coordinates resources and arranges organizational systems to meet objectives
f. Develops and implements progressive short-term goals that align with the company's vision and business goals
g. Cascades goals down to staff's annual objectives
h. Prepares annual department budgets and monitors monthly performance

General Duties and Responsibilities
  • Performs other duties and tasks as assigned by supervisor
  • Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job.
  • Conforms to safety policies, general housekeeping practices
  • Demonstrates sound work ethics, flexible, and shows dedication to the position and the community
  • Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers
  • Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others
  • Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others
  • Conforms to CVCH policies and Joint Commission and HIPAA regulations

  • Job Specifications
  • Education: Bachelor's Degree in Business Administration, Healthcare management, or health related field. Masters preferred. Experience may be substituted for education.
  • Licenses/Certificates/Registration: Current Washington State driver's license and proof of automobile liability insurance coverage. Healthcare Financial Management Association (HFMA) managed care certification preferred.
  • Experience: Five (5) years of experience in analysis and coordination of Population Health related strategy, operations, or financial management, or two (2) years of experience in Healthcare Administration, overseeing staff, managing patient services, or other leadership in health center administration, with strong understanding of quality/value-based/population health concepts.
  • Language Skills: English required.
  • Essential Technical/Motor Skills: Knowledge of and skills in contract negotiations and contract legal review. Strong skills in analytical/financial analysis. Proficient in Excel, Word, and other software programs. Ability to build and maintain effective relationships within the organization and with payors, internal partners, and physicians. Ability to leverage interpersonal skills and technical knowledge to bring people and ideas together to perform effectively. Ability to influence others to achieve understanding, acceptance, and commitments to act in support of ideas, programs and products. Ability to effectively express ideas verbally and in writing in individual and group settings. Ability to successfully handle conflict and deal with expected and unexpected change. Strong project management skills. Familiarity with best practices and process improvement.
  • Interpersonal Skills: Excellent interpersonal and communication skills; ability to work with physicians, dentists, nurses, and other professional/technical staff and senior management within the system. Demonstrated skill in developing and maintaining productive work teams. Ability to demonstrate personal integrity in all interactions. Excellent organizational, interpersonal and networking skills with large groups as well as with individuals are essential. Ability to effectively present information and respond to questions from groups of managers, customers, and the general public. Must have sensitivity to low income and ethnic minority community.
  • Essential Physical Requirements: This job is performed mostly in a typical inside, office environment. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Ability to read forms, computer screens, correspondence and other documents.
  • Essential Mental Abilities: Thorough organization, management, and human relations skills with a style which reflects maturity, leadership, sensitivity, flexibility, and teamwork. Demonstrated experience in working with culturally diverse populations; thorough understanding of the issues facing Community Health Centers derived through prior management experience; and knowledge of specific operating systems of Community Health Centers, such as patient flow and billing; achievements in developing new services and patient volume in similar organizations in coordination with the CEO. Ability to make decisions in line with state and federal regulations; ability to read, comprehend, and analyze documents, regulations, and policies; ability to prepare and submit complete and succinct documents necessary to the job. Ability to assess and evaluate, have attention to detail. Problem solving and analytical skills are required with a heavy emphasis on detailed analysis of information to support actions.
  • Essential Sensory Requirements: Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone.
  • Exposure to Hazards: Worker is subject to inside environmental conditions on a frequent basis with moderate noise. Typical working conditions found in most administrative work areas. Worker has contact with consumers and other staff and may be exposed to medical conditions presented by them.

  • Blood/Fluid Exposure Risk

    Category III

    Tasks involve no greater exposure to blood, body fluids, or tissues than would be encountered by a visitor. Category I tasks are not a condition of employment.

    Age Specific Competency

    Position does not involve patient care. Position will demonstrate general knowledge and skill to effectively communicate and provide safety measures to all life cycles.

    Telecommuting
    • Position eligible for Partial Telecommuting

    Benefits

    * Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays, and CME benefits are prorated based on FTE

    Benefit:

    Coverage:

    Effective:

    Medical

    Premera (Self Insured)

    Preferred Provider

    Employee covered - $60.00 per month

    Dependents covered - please refer to the benefits Guide 2025 for rates

    First of the month following the first date of employment.

    Dental

    Washington Dental

    Employee covered at 100%

    Dependents covered at 50%

    First of the month following the first date of employment.

    Paid Leave

    120 hours - Year 1

    136 hours - Year 2
    Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years.

    Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB. .

    Extended Illness Bank (EIB)

    Allows for maximum accrual of 200 hours

    PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act.

    Holidays

    88 hours related to:
    New Year's Day
    Memorial Day
    4th of July
    Labor Day
    Thanksgiving Day
    Day after Thanksgiving
    Christmas Eve
    Christmas Day
    3 Diversity Days

    Holidays are calculated as 8-hour days if full time, 1.0 FTE, and paid based on the calendar year (January 1 through December 31). Holiday hours will be added to the employee's timecard automatically. If an employee is part-time, as documented in our HR/Payroll system, Holiday hours will be pro-rated. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below:
    Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE)
    May 1 - August 31: 2 diversity days (16 hours if 1.0 FTE)
    Sept 1 - Dec 31: 1 diversity day (8 hours if 1.0 FTE)

    Please refer to the Paid Leave policy for additional details.

    403(b) Retirement Plan

    Lincoln Financial

    150% CVCH match up to 3% of the employee's contribution

    Immediately. Vesting schedule:

    20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years.

    Employee Assistance Program

    Mutual of Omaha

    Free short-term counseling for employee and family

    Immediately. Call 800-316-2796

    Long-term Disability

    Mutual of Omaha

    Employee Only (variable)

    First of the month following the first date of employment.

    Basic Term Life

    Mutual of Omaha

    Employee Only (1x annual salary, up to $200,000)

    First of the month following the first date of employment.

    Benefit:

    Coverage:

    Effective:

    Group Accidental Death and Dismemberment (AD&D)

    Mutual of Omaha

    Employee Only (1x annual salary, up to $200,000)

    First of the month following the first date of employment.

    Supplemental Term Life

    Mutual of Omaha

    Employee / Spouse / Dependent(s)

    First of the month following the first date of employment.

    Voluntary AD&D

    Mutual of Omaha

    Employee / Spouse/ Dependents

    First of the month following the first date of employment.

    Health Reimbursement Arrangement

    RedQuote

    Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750per family per year

    First of the month following the first date of employment.

    Flex Plan: Medical

    RedQuote

    Flex Plan: Maximum $3,300 per year

    Direct Deposit available

    First of the month following the first date of employment.

    Flex Plan: Dependent Care

    RedQuote

    Flex Plan: Maximum $5,000 per year

    Direct Deposit available

    First of the month following the first date of employment.

    AFLAC

    Supplemental insurance - cafeteria plan

    First of the month following the first date of employment.

    Wellness Stipend

    CVCH will reimburse staff up to $30 per month for a local gym membership

    OR

    CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.)

    Immediately. Once employee has submitted invoice to HR/Payroll department.

    Cell Phone Discounts

    Discounted monthly access fees

    Discounted select accessories and special equipment

    Available for personal cell phones, currently in place with AT&T & Verizon

    Benefit:

    Coverage:

    Effective:

    Tuition Reimbursement

    For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of:
    $4,000 for an Associate's degree, vocational, technical, or certification program
    $6,000 for a Bachelor's degree
    $8,000 for a Master's degree

    Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply.

    Employees must agree to work for a period of two (2) years from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams.

    Equal Opportunity Employer
    This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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