Become a part of our caring community and help us put health first
 

The Population Health Strategy Lead is responsible for improving the quality of care and outcomes while managing costs for a defined group of people. The Population Health Strategy Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

The Population Health Strategy Lead identifies health needs such as chronic diseases or disabilities, or the health needs of the underserved. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action.

• Develops, in conjunction with the Center for Equitable Population Health team (CEPH), clinical business intelligence and population health insights. Develops market strategies and innovative solutions in collaboration with CEPH and South Carolina market team

• Collaboratively design efforts addressed at improving health outcomes, reducing disparities, and improving cultural proficiency with other SCHHS-contracted managed care organizations to have a collective impact for the population and that lessons learned are incorporated into future decision-making

• Partners with centralized accreditation team to ensure contractually required market NCQA Health Equity Accreditation.

• Oversees the Plan's strategic design, implementation, and evaluation of population health initiatives based on a deep understanding of scientific population health principles

• Creates evidence‐based, scalable, and financially sustainable population health solutions

• Develops and deploys the community engagement and investment strategy to support market goals and initiatives.

• Collaborates with Humana leaders in developing and implementing strategic initiatives to support an organizational workforce and culture that is inclusive and respectful of the various backgrounds reflected in our Enrollees and their communities.

• Helps assure the plan addresses healthcare disparities and ensures access to and the delivery of services to all Enrollees

• Identifies racial, linguistic, gender, and geographic health disparities, and works with our communities, partners, and providers to improve health equity and have a collective impact for the population

• Listens, and gives voice to, emergent issues creating barriers to health equity, healthcare disparities within the local healthcare community, their impacts on healthcare quality, outcomes, healthcare costs and access to care for underserved and marginalized communities

• Leverages all available data to provide meaningful reporting to internal and external committees on health equity metrics across the plan, network and service delivery areas

Use your skills to make an impact
 

Required Qualifications

• Bachelor’s Degree in nursing, public health, social work, health services research, health policy, information technology, or other relevant field

• Minimum five (5) years of progressively responsible professional experience in population health, service coordination, ambulatory care, community public health, or quality improvement

• Understanding of Social Risk Factors and their impact into health outcomes

• Ability to analyze data and make data-driven recommendations for quality improvement

• Excellent interpersonal skills; ability to develop effective relationships with a broad array of people internally and externally, including community partners, and communicate strategic goals and initiatives

• Experience with program planning, implementation, and evaluation

• Ability to take personal initiative and work independently, as well as part of a team

• Proficiency in Microsoft Office suite

Preferred Qualifications

• Master’s Degree in nursing, public health, social work, health services research, health policy, information technology, or other relevant field

• Familiarity with NCQA Accreditation requirements for Population Health Management and Health Equity

• Demonstrated experience leading initiatives addressing the social determinants of health

• Familiarity with social risk factors screening tools such as AHC or PRAPARE

• Experience implementing social need referral