Talent.com
Associate Director, Population Health - Remote in New Mexico

Associate Director, Population Health - Remote in New Mexico

UnitedHealth GroupAlbuquerque, NM, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

As a key leader in the clinical operations of the New Mexico health plan, the Associate Director, Population Health will work closely with the Leadership team to coordinate an interdisciplinary approach to care. This will include a focus on health promotion, chronic disease management, behavioral health needs, and social drivers of health (SDoH). Engagement with providers and community resources will be very important. A comprehensive population health assessment inclusive of environmental and historical local drivers of health will inform a metrics and measures based population health improvement plan. In partnership with other members of the clinical team, a component of the role will include provider education and monitoring of quality improvement programs. This includes analysis and review of health outcomes at the provider and aggregated patient-level monitoring, measuring and reporting on key metrics to assist providers in meeting quality and equity standards, state contractual requirements, SDoH initiatives, and pay for performance initiatives. This position will focus on planning and implementing initiatives that are needed and do so in accordance with State, CMS, NCQA, and / or other requirements as applicable.

If you are located in New Mexico, you will have the flexibility to work remotely

  • in the state, as you take on some tough challenges.

Primary Responsibilities :

  • Effective deployment and management of a program at the practice and community levels through strategic partnerships with practitioners, community partners, and internal stakeholders
  • Assesses trends in population / quality measures and identifying opportunities for quality improvement
  • Designs quality transformation through targeted interventions related to HEDIS / state specific population / quality measures
  • Serves as subject matter expert (SME) for population health, preventive health topics, leads efforts with clinical team to research and design educational materials
  • Serves as liaison with key vendors supporting population health initiatives
  • Consults with vendors and providers to design and implement initiatives to innovate and then improve population health programs measures
  • Participates, coordinates, and / or represents the Health Plan at events, state meetings, and other outreach events focused on population health initiatives and disparity programs
  • Identifies and addresses population-based member barriers to care and leads the team in identifying local level strategies to overcome barriers and close clinical gaps in care
  • Investigates gaps in clinical documentation where system variation has impact on rate calculation, implements corrective plans when issues are verified, and monitors to resolution
  • Creates presentations and works with data to formally present information to various stakeholders
  • You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications :

  • 5+ years clinical or healthcare experience
  • 5+ years of healthcare and / or insurance industry experience, including a general knowledge of regulatory and compliance
  • 5+ years of experience in a Manager / Director role with adaptable leadership skills with ability to achieve results in a complex organization by aligning goals with employees that are not considered direct reports
  • 3+ years of quality improvement / population health experience
  • Experience creating presentations and working with data to formally present information to physicians, administrators, state regulator, other providers and community partners
  • Experience as a senior level advocate on behalf of the member who can lead a cross departmental team to member resolution
  • Proficient experience working with MS Word (create, edit and save documents) and Excel (create, edit and save spreadsheets, formulas)
  • Knowledge of population and public health, in both rural and urban settings
  • Knowledge of social determinants of health in rural and urban setting in the US Southwest Region
  • Proven intermediate software applications skills that include, Microsoft Word, Excel, PowerPoint
  • Proven ability to review data and make clinical interventions and consult others
  • Dedicated work area established that is separated from other living areas and provides information privacy
  • Currently reside in New Mexico
  • Willing or ability to travel throughout New Mexico up to 25% of the time
  • Preferred Qualifications :

  • Current unrestricted Registered Nurse (RN) licensure in the state of NM or Licensed Clinical Social Worker (LCSW) OR Population Health Management experience
  • Experience creating and executing a strategic plan with measurable outcomes
  • Experience working in Medicaid and / or Medicare
  • Knowledge of one or more of : clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements, Population health approach and the managed care industry
  • Understanding and / or experience working with the Native American and tribal communities
  • Background in Managed Care
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
  • Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    serp_jobs.job_alerts.create_a_job

    Associate Population • Albuquerque, NM, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Travel Physical Therapist

    Travel Physical Therapist

    KPG AlliedRio Rancho, NM, US
    serp_jobs.job_card.permanent
    KPG Allied is seeking a travel Physical Therapist for a travel job in Rio Rancho, New Mexico.Job Description & Requirements. Candidates must have at least 1 years of paid experience in the last ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director - Clinical and Quality Programs

    Director - Clinical and Quality Programs

    Presbyterian Healthcare ServicesAlbuquerque, NM, US
    serp_jobs.job_card.full_time
    Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve.We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Sr. Associate / Executive Director, Athletics Lobo Club

    Sr. Associate / Executive Director, Athletics Lobo Club

    University of New MexicoAlbuquerque, NM, US
    serp_jobs.job_card.full_time
    Assoc Dir, Athletic Development.The University of New Mexico is seeking an Executive Director of the Lobo Club to be a member of the UNM Athletic Department. The Executive Director will report to th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Hematology and Oncology in New Mexico

    Physician (MD / DO) - Hematology and Oncology in New Mexico

    LocumJobsOnlineRio Rancho, New Mexico, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Hematology and Oncology MD in New Mexico!.Whether you are searching for a position in your area or in another state, we have professio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Long-Term Care - $1,879 to $2,160 per week in Truth Or Consequences, NM

    Travel Nurse RN - Long-Term Care - $1,879 to $2,160 per week in Truth Or Consequences, NM

    TravelNurseSourceRio Rancho, New Mexico, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Fusion Medical Staffing to find a qualified Long-Term Care RN in Truth Or Consequences, New Mexico, 87901!. Facility in Truth or Consequences, New Mexico.Fusion Med...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Physical Therapist

    Travel Physical Therapist

    Synergy Medical StaffingRio Rancho, NM, US
    serp_jobs.job_card.permanent
    Synergy Medical Staffing is seeking a travel Physical Therapist for a travel job in Rio Rancho, New Mexico.Job Description & Requirements. Location : Rio Rancho, New Mexico.Shift : 5x8 Days, 08 : 00...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Coord,Academics

    Coord,Academics

    University of New MexicoAlbuquerque, NM, US
    serp_jobs.job_card.full_time
    High school diploma or GED; at least 5 years of experience directly related to the duties and responsibilities specified. Completed degree(s) from an accredited institution that are above the minimu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director, Partner Success

    Director, Partner Success

    SynapticureAlbuquerque, NM, US
    serp_jobs.job_card.full_time
    As a patient and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health su...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director I - Care Campus

    Director I - Care Campus

    Bernalillo County (NM)Albuquerque, NM, US
    serp_jobs.job_card.full_time
    Pay Range : $125,549 - $156,936.Close Date : November 18th, 2025.Employees at Bernalillo County enjoy the ability to team up with each other to build a high quality of life for our county residents, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Population Health Manager - Remote in New Mexico

    Population Health Manager - Remote in New Mexico

    UnitedHealth GroupAlbuquerque, NM, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director - Strategic Sourcing Health Plan

    Director - Strategic Sourcing Health Plan

    Presbyterian Healthcare ServicesAlbuquerque, NM, US
    serp_jobs.job_card.full_time
    Director Of Strategic Sourcing.The Director Of Strategic Sourcing for the Health Plan will lead sourcing strategy, supplier management, contracting, and cost optimization initiatives for all catego...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Family Practice in New Mexico

    Locum Physician (MD / DO) - Family Practice in New Mexico

    LocumJobsOnlineRio Rancho, New Mexico, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with Medicus Healthcare Solutions to find a qualified Family Practice MD in New Mexico!.Medicus is working with a hospital in Santa Fe, New Mexico, with a contract assign...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Family Practice in New Mexico

    Physician (MD / DO) - Family Practice in New Mexico

    LocumJobsOnlineRio Rancho, New Mexico, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with CompHealth to find a qualified Family Practice MD in New Mexico!.CompHealth has employed positions, partnership-track opportunities, and independent contractor posit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Physical Therapy Assistant

    Travel Physical Therapy Assistant

    American TravelerRio Rancho, NM, US
    serp_jobs.job_card.permanent
    American Traveler is seeking a travel Physical Therapy Assistant for a travel job in Rio Rancho, New Mexico.Job Description & Requirements. American Traveler is seeking an experienced Physical T...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director, Clinical Systems

    Director, Clinical Systems

    Molina HealthcareLOS LUNAS, US
    serp_jobs.job_card.full_time
    Leads and directs a team supporting clinical systems.Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technolo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director I, Patient Access (Onsite, Albuquerque, NM)

    Director I, Patient Access (Onsite, Albuquerque, NM)

    Ensemble Health PartnersAlbuquerque, NM, US
    serp_jobs.job_card.full_time
    Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.They offer end-to-end...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director - Claims

    Director - Claims

    Presbyterian Healthcare ServicesAlbuquerque, NM, US
    serp_jobs.job_card.full_time
    Director Of Claims And Encounters.The Director Of Claims And Encounters provides strategic leadership, fiscal accountability and operational excellence for the Presbyterian Health Plan (PHP) Claims...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Occupational Therapist (13-Week Contract)

    Travel Occupational Therapist (13-Week Contract)

    Synergy Medical StaffingRio Rancho, NM, US
    serp_jobs.job_card.permanent
    Synergy Medical Staffing is seeking a travel Occupational Therapist for a travel job in Rio Rancho, New Mexico.Job Description & Requirements. Location : Rio Rancho, New Mexico.Shift : 5x8 Days, 0...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days