Population Health and Equity Leader - Remote
Company: EmblemHealth
Location: New York
Posted on: May 26, 2025
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Job Description:
Summary of JobServe as advisor on health equity, SDOH, and
population health programming, collaborating with a wide range of
internal and external stakeholders, responsible for EmblemHealth's
strategy and mission. Develop and lead programs with focus on
improved health outcomes of groups across the community; monitor
and identify individual patients within that group based on medical
conditions, age, and location. Use data to ensure an equal
distribution of health resources among all members of our insured
community. Oversee quality improvement to improve care, reduce
costs, and deliver evidence-based outcomes.Responsibilities *
Participate and lead the development, performance, and maturation
of existing programs.
* Provide subject matter expertise in areas such as health equity
analytics, community health, bias reduction, and diversity equity
and inclusion.
* Lead and/or serve on a variety of appropriate internal and
external committees to represent Population Health.
* Review and analyze population and patient data related to
clinical care and outcomes to evaluate performance, reveal trends
and identify opportunities.
* Collaborate with internal and external organizations to execute
innovative programs and build partnerships.
* Drive change management to balance community needs with
government system changes.
* Lead the population health strategy and NCQA's Population Health
Management program.
* Collaborate with clinical, operations, and community teams to
enhance the patient experience and reduce per member cost.
* Identify root causes, analyze data, and develop metrics to reduce
health disparities.
* Prepare reporting to present findings and highlight successes and
opportunities for improvement or intervention.
* Engage with diverse communities to set priorities and drive
planning efforts.
* Monitor performance indicators to ensure exceptional quality
outcomes.
* Prepare and execute operational plans to achieve measurable
objectives on an established timetable.
* Develop programs to address barriers to healthcare as determined
by patient need.
* Assist in applying for and reporting on grant-funded
programs.
* Actively participate in quality improvement committees,
subcommittees and workgroups to support process improvement.
* Review and update operational processes for quality management
activities. Define and document newly established processes.
* Remain current with new trends and best practices and
incorporates into Population Health programs.
* Support preparation, organization and follow-up in acquiring and
maintaining NCQA accreditation and compliance with local, state and
federal regulatory authorities, includes support of the health
plan's HEDIS, QARR, and Star processes.Qualifications* Bachelor's
Degree in a health services field (Required)
* Master's degree (Preferred)
* 10 - 12+ years of experience in the health care field, preferably
in managed care experience (Required)
* Ability to work with staff in several locations where the company
has offices, necessitating site visits
* Proficient in Microsoft Office - Word, PowerPoint and Excel,
Access (Required)
* Proficient in data analysis. Strong working knowledge of
relational database and statistical analyses (Required)
* Must be familiar with and have a strong knowledge of QI process
improvement methodology strategies, including but not
* limited to PDSA and DMAIC (Required)
* Must be familiar with the HEDIS, QARR, CAHPS and HOS requirements
(Required)
* Must possess analytical skills to collect, organize and present
data in a clear and concise manner (Required)
* Ability to assess all work and prioritize as necessary to meet
reporting timeframes and deadlines (Required)Additional
Information
Keywords: EmblemHealth, East Brunswick , Population Health and Equity Leader - Remote, Accounting, Auditing , New York, New Jersey
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