Senior Manager, Population Health

Senior Manager

The Senior Manager will oversee the operations for all existing provider quality incentive programs supported by Healthfirst and develop the strategy for engaging the delivery system to ensure we deliver top quality care to our members. Reporting to the Director, Population Health Strategy, the Manager will work closely with Healthfirst's Clinical Quality, Delivery System Engagement, Clinical Informatics and Analysis and Information Systems teams to ensure all quality incentive program related deliverables are executed on time and accurately.

Duties and Responsibilities

• Develop strategy by conducting market research and reviewing industry wide changes for engaging provider populations with quality programs while ensuring existing provider engagement programs are aligned with CMS Medicare Stars, the NYS Medicaid Incentive, the NYS MLTC Incentive, other regional health plans using a data driven approach
• Oversee the day-to-day operations needed to ensure the timely and accurate reporting of HQIP to internal staff and external Healthfirst providers.
• Develop and deliver presentations for varying levels of staff up to and including C-suite executives with the end goal of securing buy-in on strategy or operational decisions
• Design and execute the Healthfirst Quality Incentive Program (HQIP) and other quality incentive programs : Summarize analytical findings and trends with recommendations for business decisions. Inform the development of all quality incentive program parameters, including what outcomes providers need to meet or exceed for quality bonuses and how much providers will earn through quality bonuses. Contribute to budgeting process and maintain relationship with vendors.
• Oversee the development and improvement of reporting tools that make accurate, time-sensitive data available to staff and Healthfirst providers : Collaborate with the team to address / fix short-term data validation issues that impede on-time, accurate reporting, ensure Clinical Informatics and Analysis and Information Systems team members can adjust and update their analyses or reporting, as needed.
• Delegate and manage the work of direct / indirect teammates. Oversee the production of standard reports and ad-hoc requests related to HQIP quality data and performance (e.g. Network percentiles, top and bottom performer lists, etc).
• Collaborate with Digital Marketing and Corporate Communications to develop materials that support quality incentive programming. Write communications (e.g. emails, memos, brochures, FAQs) targeting providers, senior level hospital administrators and Healthfirst staff.
• Help ensure HQIP and other quality incentive program participants are paid accurately and on-time at the end of each program period.
• Develop and facilitate trainings that support the roll-out of quality incentive programming to Healthfirst staff and external Providers
• Other duties as assigned

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and / or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.