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SEHP Seeks Population Health Clinical Performance Director

Southeastern Health Partners is seeking candidates for Population Health Clinical Performance Director. View position summary and easily apply on LinkedIn.

Position Summary

The Population Health Clinical Performance Director (PHCPD) is responsible for gathering, transmitting, and preparing population health data and reporting to various customers. As part of this work, the PHCPD will be responsible for the ongoing oversight, support and/or deployment of quality improvement, utilization processes and standard reporting activities. This position will work across a broad audience including payers, providers, practice managers, and other clinical and non-clinical personnel.

Vision

The vision of Southeastern Health Partners (SEHP) is to be the integrated delivery network of choice for healthcare consumers in the Upstate.

Mission Statement

The mission of Southeastern Health Partners is to improve the health outcomes of the communities we serve while ensuring an excellent experience through a proactive, high value, integrated care delivery model.

Essential Duties and Responsibilities

The essential functions include, but are not limited to the following:

  1. Supports and drives performance plans, monitoring key program and population health metrics, participating in quality improvement, HEDIS, and/or CMS star initiatives, and care coordination efforts
  2. Drives key performance and population health metrics and results by using appropriate communication channels, implementation techniques, change management, training, team building, and accountability
  3. Builds effective working relationships and collaborates with all levels of the organization, from senior leadership to service lines, physicians, front-line caregivers, and other functional areas to improve and align strategies around service excellence
  4. Develops standard and ad hoc reporting in partnership with operational leaders to drive successful performance in value-based arrangements including shared savings and risk- based contracts
  5. Advises, supports, collaborates, and leads process improvement and special projects for SEHP as assigned.
  6. Prioritizes the activities of the team; utilize and develop subordinate leaders and staff to their maximum potential
  7. Develops communications strategies and processes with providers to optimize patient visits and the team approach to healthcare
  8. Collaborates with internal and external subject matter experts as necessary to develop/improve care management tools to optimize workflow, coordination, and reporting
  9. Efficiently manages the payer requests for care coordination, data input and output
  10. Establishes and maintains relationships with selected payers/vendors necessary to facilitate communications and reporting as it relates to care coordination and quality indicators
  11. Serves as the administrative lead for assigned committees supporting a physician committee chair to ensure effective and efficient meetings, programs, and initiatives; currently Care Coordination Committee
  12. Contributes and participates in, as required, the following current SEHP committee(s): Population Health Management, IT Committee, Quality
  13. Handles projects such as onboarding new provider systems related to care coordination work
  14. Handles budget projection and performance within the department
  15. Maintains organizational policies and procedures, objectives and safety standards; maintains professional integrity and confidentiality of information in accordance with SEHP policies and procedures, state, and federal requirements and applicable law
  16. Handles all other duties as assigned

Minimum Qualifications

• Bachelors in Nursing

• Current SC license as RN.

• Minimum five years of clinical experience with minimum of three years’ experience with Case Management, Quality Management, Community or Population Health and must have experience working with clinical and claims-based healthcare data and

• Management programs with minimum of two years management experience.

• Must possess excellent interpersonal communication, critical thinking and negotiation skills, problem solving skills, strong organizational and time management skills, and the ability to work independently and as a collaborative team member.

• Ability to meet deadlines and schedules is required.

• Knowledge of care management and transition of care models/systems.

Preferred Qualifications

• Clinically Integrated Network and/or ACO experience.

• Experience in a variety of clinical settings.

• Master’s Degree in related field.

Physical Demands and Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.

While performing the duties of this position, the employee frequently is required to use hands or fingers, handle, or feel objects, tools or controls. The employee is frequently required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this position include close vision, distance vision, peripheral vision, and the ability to adjust focus. Machinery operation, when/if necessary, may require the use of safety equipment including but not limited to eye safety glasses, hearing protectors, work boots, and hardhats.

Exposure to variations in temperature of heat and cold.

The noise level in the work environment is usually moderate to loud.

Work Schedule & Location

Monday – Friday, 8 am to 5 pm; May be eligible for remote work TBD with occasional on-site attendance required

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This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.