HCA, Hospital Corporation of America Director of Population Health in Austin, Texas

Exciting opportunity to join the nation's largest provider of healthcare services!

HCA Healthcare is a national leader in providing modern, culturally competent, patient-centered care and we are driven by a single goal:/the care and improvement of human life./

We are looking for an exceptional Director of Population Health to lead our team. We believe in our team and your ability to help us provide high quality, compassionate care in the communities we serve.

We offer an excellent benefits package, competitive salary, tuition reimbursement, and growth opportunities. We are seeking a great addition to the team who feels patient care is as important as we do!

Interested in learning more about us? Click here!

POSITION SUMMARY: Under the direct supervision of the Administrator and in coordination with the Executive Quality Director, the Director of Population Health Management will provide expertise in Population Health Management. This includes proactive application of strategies and interventions to defined cohorts of individuals across the continuum of healthcare delivery in an effort to maintain and/or improve the health of the individuals within the cohort at the lowest necessary cost. The Director of Population Health Management will assist with and oversee the development and implementation of a proactive, patient-centric approach to health and healthcare that engages patients and physicians in prevention, wellness, care coordination and care management with the goals of improving outcomes and reducing costs. These initiatives should be coordinated with, and supportive of, existing managed care contracts (Medicare, Medicare Advantage, and Commercial agreements) that the Clinic has in place. The Director of Population Health Management will provide support and leadership in areas of successful value based contract execution, clinical performance, process improvement, data collection, data interpretation, etc. for the organization, working closely with the Executive Leadership and Clinic Operations.

JOB DUTIES INCLUDE BUT ARE NOT LIMITED TO:

  • Works collaboratively with the Executive Team and physicians to provide strategic planning and implementation support for transition to Population Health Management.

  • Performs a key role in the development, implementation, coordination, and monitoring of clinical programs (e.g. Chronic Care Management, High risk patient care management, care coordination, transition of care, etc.) to support successful participation in Medicare Shared Saving Program, Medicare Advantage, MIPS and commercial Value-Based care arrangements.

  • Supervises, directs, and manages the Population Health Management care staff (e.g. health coaches, analysts, etc.) that are responsible for the smooth deployment and standard operation of clinical programs and services which benefit the patient population.

  • Analyzes and uses the information and data to guide the development and implementation of transitional care and care management interventions that improve value to the patient and payers. In addition, presents information and data that describe the progress of PMH program to Executive Team, Finance committee and contracting committee.

  • Shares data with the appropriate stakeholders and works with Marketing, when applicable, to communicate accomplishments to the public.

  • Works closely with IT&S department along with input from Operations, to design, improve and implement solutions for using technology to support population health management processes, access to care, patient engagement, and efficient care management workflow across the organization (e.g. EMR workflow and template changes, etc.).

  • Works with Managed Care and Contracting Committee to support the negotiation and monitoring of performance and/or risk based contracts with payers, and serves as liaison to the carrier’s representatives.

  • Works with the Executive Quality Director to assist with promoting the advancement of primary care and interdisciplinary/specialty collaborative care teams both internally, as well as across external network of providers and/or other community care partners.

  • Works with the Executive Quality Director to assist in the development of strategies to engage physicians and staff in population health management.

  • Assists the Executive Quality Director to coordinates the Best Practices and Medical CQI Committees.

  • Work with the CFO to develop and manage the budget for PHM department.

  • Adheres to and supports all Clinic-wide, as well as departmental , policies and procedures, continuous quality improvement objectives and safety standards.

  • Maintains regular and predictable attendance.

  • Performs other duties as assigned.

EDUCATION:

  • Bachelor’s Degree in Healthcare Administration, Business Administration, or equivalent is highly preferred. Master’s in Public Health or Health Administration preferred. Appropriate experience may be substituted for educational requirements. CERTIFICATES/LICENSES: Current RN License for the State of Texas is preferred.

EXPERIENCE:

  • 3 years of experience in a healthcare or clinic setting is required.

  • Prior leadership or management experience in a physician practice is highly preferred.

  • Experience managing providers and staff is preferred.

  • Experience managing a clinic or practice net revenue.

  • Proven track record in growing physician practice revenues and volumes.

  • Physician Practice marketing expertise with a variety of tactics to grow and develop business.

  • Position requires a dynamic and highly motivated person with the ability to inspire and lead people, as well as communicate effectively with Physicians, Administrators, and Executives.

  • In-depth knowledge of the healthcare industry. Must possess a keen working knowledge of care management, utilization and quality management, procedure and diagnostic coding, and Electronic Medical Record (EMR) usage in ambulatory/outpatient and/or hospital settings.

  • Minimum five (5) years’ experience in a quality management program in a managed care/health plan, IPA, ambulatory care, or hospital setting(s); experience in risk contracts desirable and/or Value Based Care initiatives

  • Strong experience and demonstrated ability in developing/implementing quality management programs and analyzing both financial and quality data, focusing on continuous quality improvement, across multiple projects and multiple sites concurrently

  • Experience with data reporting to outside agencies for programs such as Meaningful Use and/or PQRS

  • Experience with Care Management and Transitional Care Management, CCM certification a plus

  • Skill in the use of computerized systems and databases.

  • Ability to understand and follow research protocol and procedures and ability to analyze and interpret scientific data. Working knowledge of statistical analysis and reporting practices pertaining to quality improvement and program evaluation

  • Strong communication, collaboration, influencing, teamwork, project and time

  • Management skills required

  • Competency in computer systems and software used in functional area including Word, Excel, Access(helpful) and PowerPoint

  • Committed to own continuous education, and networking with affiliate institutions, organizations or associations and other health care providers, to stay in touch with developments and trends in health care market as they relate to best practices in the areas of quality

  • Effectively establishes and maintains collaborative working relationships with the medical staff, management team and staff to achieve best practice outcomes, improve clinical performance and corrective action plan responses

  • Improves responsiveness and relations with all customers, including patients and their families, faculty and community physicians, other participating providers, affiliated health plans, staff, regulatory and accrediting bodies

ADDITIONAL INFORMATION:

  • Some travel may be required. Very minimal.

We believe in going above and beyond, and feel that there is no nobler pursuit than that of caring for and improving human life. We hope you’ll join us on our mission!

Job: *Directors & Managers

Title: Director of Population Health

Location: Texas-Austin-MSO - ADC

Requisition ID: 21223-72243