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HCS (CLINICAL) DIRECTOR POPULATION MANAGEMENT

Job ID: MAN002F5
Location: Morrisville, NC
Facility/Division: SHARED SERVICES
Status: Full-time
Shift: Day Job

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Joining UNC Health Care system means you’ll become part of an inclusive organization with a mission to improve the health and well-being of the diverse communities we serve.

Job Description

Description

Responsible for Population Management program development for UNC HCS Ambulatory Services.

Job Responsibilities:

1.Oversee day to day operations, policy development and regulatory compliance.
2. Responsible for full-scale project plans, financial oversight, quality audits and associated communications documents.
3. Participate in managed care contracting and other initiatives supporting the transition to value based care delivery and reimbursement.
4. Work collaboratively with multiple departments to develop effective data analytics, care management processes, cost avoidance measures and mutually beneficial relationships that enhance evidence based health care delivery and quality outcomes.
5. Implement performance metrics, including patient satisfaction, engagement, resource utilization and gap closure, and achieve or exceed contractual agreements.
6. Analyze health care trends, identify opportunities consistent with strategic goals and develop business plans to expand population management services and market share.
7. Communicate results to UNC HC Chief Value Officer, VP Population Health Services and Clinical Operations, VP of Quality Improvement and Innovation, Health Alliance Board of Directors and customers.
8. Actively participate in UNC HC committees related to high quality/low cost health care, internal and external provider relationships and managed care agreements.
9. Responsible for managing multiple projects simultaneously ensuring consistency with UNC HC strategy, commitments and goals.

Qualifications

Education:

B.S. degree in health related field required; MBA, MHA or MPH preferred.


Licensure/Certification:

RN or LCSW strongly preferred

CCM preferred


Experience:

Requires seven (7) years of related experience, with a minimum of five (5) years health care management experience; experience in project management, quality improvement processes, population management preferred.

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care. This is not a State employed position.
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The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.

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