Director - Population Health Care Coordination

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
Leads, designs, plans, and implements the strategy for continuous performance improvement to maximize value, improve quality of care, and decrease cost while building clinical patient engagement and care coordination across Stanford Health Care in relation to at risk populations. Manages longer-term programs that build the ability to risk stratify populations and focus limited resources to optimize care deliver and coordination to improve health outcomes. Coaches, trains, and supervises a team of various roles such as care managers, population health coordinators, project managers and data analysts. Supports Stanford Health Care's strategies for primary, complex and accountable care across the care continuum. Establishes and maintains systems and standards for all reporting, maximizing integration with current systems and providing vision for the future. Develops a coordinated approach to care coordination programs in tight collaboration with other SHC and UHA quality and operational partners and external stakeholders ensuring strategic alignment and coordination.

What you will do
  • Work with Executive Director and associate Chief Quality Officer to design the strategy for robust patient engagement for all managed populations while improving performance for SHC Alliance health plan individual employer group contracts.
  • Interprets, implements, reports and improves regulatory and contractual performance and measurement required by employer specific contract for SHC Alliance and CMS administered advance alternative payment models like Primary Care First .
  • Provides strategic and implementation support of emerging accountable care activities in alignment with population management best practices.
  • Manages measurement validation (i.e NCQA audits) and vendor relationships (e.g. Milliman) as they relate to data validation and reporting requirements.
  • Provides strategic direction and collaboration with internal resources, consultants, information technology, and medical and administrative leadership. Provides oversight for clinical programs aimed at coordinating care for at risk populations, ex: Diabetes program, pharmacy etc.
  • Ensures achievement and sustainability of improvements to clinical quality of care-related processes. Communicates and celebrates achievement and sustainability with operational leaders.
  • Collaborates with health plan leadership and clinic leadership to achieve operational improvements and provide optimum quality of care for patients while optimizing the coordination of care for segments of the population.
  • Collaborate with other leaders to maximize synergies with Value Based programs, Evidence-Based Care Design, and Population Health programs.
  • Routinely interacts with leaders throughout the delivery system to inform, gain feedback, and collaborate on improvement opportunities, initiatives, shortcomings, and successes.
  • Performs other related and incidental duties as needed or assigned.

Education Qualifications
  • Bachelor's Degree Required

Experience Qualifications
  • 10+ years to 15 years Required

Required Knowledge, Skills and Abilities
  • Knowledge of clinical care processes in a large academic hospital.
  • Comprehensive hospital administration and business knowledge (organization structure, business functions, processes, procedures, goals, objectives, measures, metrics, internal self-assessment processes, etc.)
  • Demonstrated successful application of process/performance improvement and problem-solving principles, tools, and methodologies.
  • and change management strategies and skills.
  • Ability to communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, conflict resolution, consulting and advising, as well as written communication.
  • Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation.
  • Ability to manage multiple changing priorities and work effectively in a team or independent setting.
  • Ability to plan, organize, prioritize, motivate, mentor, direct and evaluate the work of others.
  • Ability to provide leadership and influence others.
  • Ability to resolve conflicts and/or negotiate with others to achieve positive results; establish and maintain effective interpersonal relationships.

Licenses and Certifications
  • RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred
  • PharmD - Doctor Of Pharmacy California Licensure preferred

Physical Demands and Work Conditions

Physical Demands
  • Occasional Sitting.
  • Occasional Walking.
  • Occasional Standing.
  • Occasional Bending.
Blood Borne Pathogens
  • Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family's perspective:

  • Know Me: Anticipate my needs and status to deliver effective care
  • Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
  • Coordinate for Me: Own the complexity of my care through coordination

#LI-RL1

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.