Senior Director managing IEHP’s population health strategy and compliance in California. Overseeing various health departments and collaborating with external partners for community health initiatives.
Responsibilities
Develop and implement IEHP’s population health management strategy and approach.
Collaborate with key internal and external leaders, which includes conducting periodic population needs assessments, implementing strategies to systematically move farther upstream to impact the social determinants of health for IEHP members, identifying health disparities and system gaps in care, as well as ensuring that the health delivery system is focusing on evidence-based interventions and programming for the various segments of the population.
Participate in the development and implementation of evidence-based approaches to address social determinants of health and community health assessment/improvement projects, in collaboration with internal departments, local and state agencies, local stakeholders, and funders.
Oversee the department of Health Education, Promotion, and Prevention and the Community Behavioral Health Department and their functions, staff, and programs. Potentially other departments pending restructure.
Oversee the department of Population Health and its functions, staff, and programs, inclusive of the Health Services Evaluation Team.
Serve as a representative and spokesperson for IEHP in support of integration and population health activities in the Inland Empire with key county partners as well as State and National organizations and conferences.
Ensure IEHP compliance with population health management regulatory requirements under NCQA, CalAIM/Medi-Cal 2024 contract, and Covered California.
Oversee partnership joint operating meetings (ex. with counties) and MOUs related to population health as required in the 2024 Medi-Cal contract.
May have a lead role in IEHP Strategic Plan initiatives in Optimal Care and Vibrant Health.
Participate in State and industry work groups such as DHCS, DMHC, CHCF, NCQA, ACAP and CAHP to expand IEHP’s influence on benefit design, regulations, and policy direction.
Hire, train, and manage support staff, while monitoring and evaluating outcomes.
Conduct performance reviews of each team Member within IEHP guidelines.
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
Requirements
Ten (10) years of experience in a population health-related role, inclusive of at least five (5) years in a health plan or health system required
Experience in public health programming, research and evaluation, community collaborative work and/or policy analysis preferred
Master’s degree in a related field from an accredited institution required
In lieu of a Master’s degree, both items listed below are required:
Bachelor’s degree in a related field from an accredited institution
Possession of an active, unrestricted, and unencumbered clinical licensure issued by the appropriate California State Board are required (RN, LCSW, LMFT, MD/DO or similar)
Administrative practices and procedures (including but not limited to quality assessment and improvement, program development and evaluation, evidence-based practice guidelines and pathways; principles of effective supervision and organization)
Understanding of Managed Care Plan regulatory requirements
Microcomputer applications such as Microsoft Office, Word, Excel, and Access helpful
Benefits
Competitive salary
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Life, short-term, and long-term disability options
Career advancement opportunities and professional development
Wellness programs that promote a healthy work-life balance
Flexible Spending Account – Health Care/Childcare
CalPERS retirement 457(b) option with a contribution match
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