Population Health Manager - AtlantiCare : Job Details

POSITION SUMMARY The ACO Quality Manager is a leader for AtlantiCare Health Solutions. The ACO Quality Manager will work collaboratively with the ACO Leadership Team to develop and oversee population health metrics, to effectively conduct measured clinical performance and designated clinical strategic target activity that are focused on the Triple Aim. This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and by demonstrating a commitment to teamwork and cooperation QUALIFICATIONS EDUCATION: Bachelor's Degree required. LICENSE/CERTIFICATION: EXPERIENCE: Minimum 5 -7 years strong facilitation skills in quality improvement methodology and data analysis required. Knowledge of applicable regulatory and accreditation standards and the ability to integrate policies required. Demonstrates experience in developing information from large databases. Prior experience in medical informatics/analytics in a health care setting required. Knowledge of ICD-9, CPT-4, HCPCS, revenue codes and other health coding nomenclatures required. Highly developed computer skills and clinical knowledge required to effectively obtain, manipulate and present data and reports. Ability to research regulatory mandates as they are developed, and guide the development of databases, analytics and reporting to support population management, medical management initiatives, quality metrics reporting, governmental standards and requirements. Proficient in Microsoft Office applications required. Strong self-starter with the ability to manage competing priorities timely and the ability to work under stressful situations with tight timelines required. Supervisory experience preferred. PERFORMANCE EXPECTATIONS Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position. WORK ENVIRONMENT This position requires primarily mental exertion with a moderate amount of walking and standing, in addition to visual acuity for reading and computer work. Some travel may be required. This position requires desk/computer work a majority of the time. This position may require occasional lifting up to 20 pounds required. Essential functions of this position are listed on the Assessment and Evaluation Tool. REPORTING RELATIONSHIP This position report to Department Leadership and may supervise incumbents as assigned. The above statement reflects the general details considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position. Total Rewards at AtlantiCare At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including: Generous Paid Time Off (PTO)Medical, Prescription Drug, Dental & Vision InsuranceRetirement Plans with employer contributions Short-Term & Long-Term Disability CoverageLife & Accidental Death & Dismemberment InsuranceTuition Reimbursement to support your educational goals Flexible Spending Accounts (FSAs) for healthcare and dependent care Wellness Programs to help you thrive Voluntary Benefits, including Pet Insurance and more Benefits offerings may vary based on position and are subject to eligibility requirements. Join a team that values your well-being and invests in your future.