Director of Population Health (Operations and Clinical Support)

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    "ExternalDescriptionStr": "<p><strong>Key Responsibilities</strong></p><p><strong>Population Health Strategy &amp; Execution</strong></p><ul style=\"list-style-type: disc;\"><li>Develop and implement a comprehensive population health strategy across STAR Kids and STAR/CHIP populations&nbsp;</li><li>Design and scale targeted interventions, outreach campaigns, and screening programs to improve outcomes and reduce cost of care&nbsp;</li><li>Establish measurement frameworks to monitor performance, including HEDIS and quality metrics&nbsp;</li><li>Partner with executive leadership to drive system-wide population health initiatives&nbsp;</li></ul><p><strong>Regulatory Compliance &amp; Quality Oversight</strong></p><ul style=\"list-style-type: disc;\"><li>Ensure compliance with all state and federal regulatory requirements, including NCQA standards&nbsp;</li><li>Oversee audits, reporting, and performance improvement initiatives across care coordination programs&nbsp;</li><li>Monitor timeliness, accuracy, and effectiveness of member outreach, complaints, and regulatory submissions&nbsp;</li></ul><p><strong>Cost Management &amp; Care Optimization</strong></p><ul style=\"list-style-type: disc;\"><li>Lead initiatives to reduce avoidable costs of care, including readmissions and inefficient care delivery models&nbsp;</li><li>Partner with internal teams and external providers to optimize transitions of care and specialty programs&nbsp;</li><li>Drive process improvements that enhance operational efficiency and financial performance&nbsp;</li></ul><p><strong>Social Determinants of Health &amp; Health Equity</strong></p><ul style=\"list-style-type: disc;\"><li>Develop and lead strategies addressing social determinants of health and health disparities&nbsp;</li><li>Build and maintain partnerships with community organizations to support member wellbeing&nbsp;</li><li>Utilize data and analytics to identify at-risk populations and implement targeted interventions&nbsp;</li></ul><p><strong>Leadership &amp; Collaboration</strong></p><ul style=\"list-style-type: disc;\"><li>Collaborate cross-functionally with clinical, operational, and executive leaders across the organization&nbsp;</li><li>Serve as a thought leader in population health and community engagement&nbsp;</li><li>Lead, mentor, and develop team members while fostering a culture aligned with TCH values&nbsp;</li></ul><p>&nbsp;</p><p><strong>Qualifications</strong></p><p><strong>Education</strong></p><ul style=\"list-style-type: disc;\"><li>Bachelor’s degree in Nursing or Social Work (required)&nbsp;</li><li>Master’s degree in Nursing (preferred)&nbsp;</li></ul><p><strong>Experience</strong></p><ul style=\"list-style-type: disc;\"><li>Minimum of 5 years of supervisory or formal leadership experience (required)</li><li>At least 4 years of progressively responsible experience in population health, community/public health, ambulatory care, or healthcare administration (required)</li><li>Experience with NCQA accreditation processes and requirements (preferred)&nbsp;</li></ul>",
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