Duke Connected Care , a community-based, physician-led network, includes a group of doctors, hospitals and other healthcare providers who work together to deliver high-quality care to Medicare Fee-for-Service patients in Durham and itssurrounding areas.
The Director of Population Health provides overall administrative direction and leadership for clinical staff, non-clinical staff, policies, procedures and programs. The Director will participate in the analysis, planning and strategic formation of PHMO's services. Serves as a member of the PHMO Leadership Team. This position will have two direct reports (Population Heath Specialist and Population Health Nurse) Remote optionable (onsite as needed). Hours: Monday-Friday, 8am-5pm. Some local travel maybe required
Direct personnel actions related to areas of responsibility including, but not limited to hiring, performance management, staff development, disciplinary action, etc.
Oversee developmental opportunities for PHMO staff. Develop and implement continuing education programs and services to meet identified needs.
Provides executive leadership and clinical oversight for the development and implementation of strategic and operational plan for clinical services, and programs within population health management. Communicate plans and continuously evaluate plans Participates in certification, accreditation, and audit procedures, keeping abreast of local and state laws affecting clinical professional practice and industry regulations. Ensures that reports required by regulatory agencies are prepared and submitted within established timeframes.
Establishes and implements processes to assure the integration/coordination with the provider network in delivering on quality and utilization key performance indicators and leading the effective implementation of value-based contracts. Identify and implement new programs that continuously improve patient outcomes in conjunction with other PHMO leadership and across the health system.
Ensure coordination and integration with other Duke departments and/or outside groups as needed to ensure high quality, efficient clinical patient care. May ensure efficient and orderly performance of customer contact and enterprise-wide marketing activities.
Maintain liaison with all levels of administration, physicians and outside organizations to accomplish directives and to facilitate the resolution of problems.
Represent the Population Health Management Office in meetings, conferences and maintenance activities regarding clinical patient care operations.
Knowledge, Skills and Abilities
Leadership and management in healthcare organizations required.
HEDIS, Star measures, Risk Coding, Risk Adjustments experience required
3-5 yrs. of Value Based Payment Models knowledge and experience required
Strong organizational abilities and experience in project management
Knowledge of Commercial, Medicare and Medicaid regulations and standards, particularly with quality (HEDIS/Star measures) and risk coding programs
Demonstrates extensive knowledge, understanding and ability to work with multi-health systems and organization missions
Excellent interpersonal, verbal, written, organizational, analytical and presentation skills.
Facilitation, consensus-building, and negotiation skills.
Sensitivity for and understanding of clinical disciplines and issues.
Understand cost containment and managed care systems.
Computer skills including Microsoft Office suite of products, as well as utilizing healthcare software for patient management and documentation.
Ability to work with all types of individuals in multiple settings and locations and to promote diversity in the workplace
Work requires completion of an accredited bachelor's degree in a healthcare field such as nursing, occupational therapy, social work, psychology, or counseling with a professional licensure or registration in a clinical field and a Master's degree. Certified Risk Adjustment Coder (CRC) and Certified Professional Coder (CPC) certifications preferred
Work requires minimum of six years of progressive managerial experience, generally in a hospital, health care, or health plan managing clinical staff and programs involving quality of care, patient/provider satisfaction, staff satisfaction, and financial performance. A Master's degree in Hospital Administration, Business Administration or another human service related field is preferred.
Degrees, Licensures, Certifications
See Education. Certification in Care Management or Care Management Administration within 6 months of hire.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas--an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.