Population Health Lead - Idaho Resident - Remote

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

As a key leader in the clinical operations of the Idaho health plan, the Population Health Lead will work closely with the Leadership team to coordinate an interdisciplinary approach to care. This will include a focus on health promotion, chronic disease management, behavioral health needs, and social drivers of health (SDoH). Engagement with providers and community resources will be very important. A comprehensive population health assessment inclusive of environmental and historical local drivers of health will inform a metrics and measures-based population health improvement plan. In partnership with other members of the clinical team, a component of the role will include provider education and monitoring of quality improvement programs. The includes analysis and review of health outcomes at the provider and aggregated patient-level monitoring, measuring and reporting on key metrics to assist providers in meeting quality and equity standards, state contractual requirements, SDoH initiatives, and pay for performance initiatives. This position will focus on planning and implementing initiatives that are needed and do so in accordance with State, CMS, NCQA, and/or other requirements as applicable. The Navigator of SDoH will report directly to the Population Health Lead and this position will report to the CMO.

If you live in Idaho, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Effective deployment and management of a program at the practice and community levels through strategic partnerships with practitioners, community partners, and internal stakeholders
• Assess trends in population/quality measures and identify opportunities for quality improvement
• Design quality transformation through targeted interventions related to HEDIS/state specific population/quality measures
• Serve as subject matter expert (SME) for population health, preventive health topics, lead efforts with clinical team to research and design educational materials
• Serve as liaison with key vendors supporting population health initiatives
• Consult with vendors and providers to design and implement initiatives to innovate and then improve population health programs measures
• Participate, coordinate, and/or represent the Health Plan at events, state meetings, and other outreach events focused on population health initiatives and disparity programs
• Identify and address population-based member barriers to care and lead the team in identifying local level strategies to overcome barriers and close clinical gaps in care
• Investigate gaps in clinical documentation where system variation has impact on rate calculation, implement corrective plans when issues are verified, and monitor to resolution
• Create presentations and work with data to formally present information to various stakeholders

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 5+ years clinical or healthcare experience
• 5+ years of healthcare and/or insurance industry experience, including a general knowledge of regulatory and compliance
• 5+ years of experience in a Manager/Director role with adaptable leadership skills with ability to achieve results in a complex organization by aligning goals with employees that are not considered direct reports
• 3+ years of quality improvement/population health experience
• Experience creating presentations and working with data to formally present information to physicians, administrators, state regulator, other providers and community partners
• Experience as a senior level advocate on behalf of the member who can lead a cross departmental team to member resolution
• Knowledge of population and public health, in both rural and urban settings
• Knowledge of social determinants of health in rural and urban setting in the US Northwest Region
• Proficient experience working with MS Word (create, edit and save documents) and Excel (create, edit and save spreadsheets, formulas)
• Intermediate software applications skills that include, Microsoft Word, Excel, PowerPoint
• Proven ability to review data and make clinical interventions and consult others
• Dedicated work area established that is separated from other living areas and provides information privacy
• Currently reside in Idaho
• Ability to travel locally up to 25% of the time

Preferred Qualifications:

• Current unrestricted Registered Nurse (RN) licensure in the state of ID or Licensed Clinical Social Worker (LCSW)
• Experience creating and executing a strategic plan with measurable outcomes
• Experience working in Medicaid and/or Medicare
• Knowledge of one or more of: clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements, Population health approach and the managed care industry
• Understanding and/ or experience working with the Native American and tribal communities
• Background in Managed Care

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.