Director of Health Care Standards

Company:  NYC Health + Hospitals
Location: New York
Closing Date: 20/10/2024
Salary: £100 - £125 Per Annum
Hours: Full Time
Type: Permanent
Job Requirements / Description

About NYC Health + Hospitals

Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Work Shifts

9:00 A.M – 5:00 P.M

Job Description

Purpose:

The Population Health Director will be instrumental in designing and implementing key Population Health priorities. They will work on programs and interventions, targeted to the right patients, to improve quality and cost of care. They will be an effective cross team leader, working side by side with providers, care teams, and operations.

The scope will include, but not be limited to, primary and specialty care, transitions-in-care, value-based care, pharmacy and medication adherence, HEDIS / Stars, accurate risk adjustment, preferred partner relationships, and patient engagement strategy. This will require building relationships with clinicians, including primary care physicians, nurse practitioners, physician assistants, pharmacists, psychiatrists, registered nurses, social workers, and others. This is a fast-paced, high visibility role to ensure that we are driving innovation and improvement rapidly and consistently.

This role will report directly to the Chief Growth Officer.

Specific Duties and Responsibilities:

  • The execution and the ongoing refinement of Population Health programs.
  • Work closely with functional leaders locally and at central office to assist with strategy and program design, and ensure effective implementation of key clinical and business priorities.
  • Accountability to key population health metrics, including quality measures, utilization measures, and financial measures.
  • Collaboration and liaising with local and central clinical care teams, social work, care/case managers, community health workers, quality, population health, value-based care, managed care, revenue cycle and financial services, clinicians, value-based care gaps, and chronic disease management, etc., to bridge the gaps and strategically align efforts for better access and outcomes.
  • Analyze existing administrative, financial, clinical processes, and datasets. Propose creative, realistic solutions to improve population health oversight and management.
  • Responsible for researching, planning, organizing, and implementing relationships and activities that will support the MetroPlus Health membership to maximize their health outcomes through improvement in social determinants of health status. Health Equity/Engagement to build out cohesive programs that meet community needs and create access in collaboration with ambulatory care leadership.
  • This role will bring thought leadership and structure to the organization's approach to meeting member needs in the realm of population health driving clinical evolution of members in targeted neighborhoods through social support and change.
  • The individual in this role will have the skill set to deliver individual projects, as well as govern multiple, streamlined complex projects through management of relationships, partners, colleagues and employment of standardized tools and practices.
  • Conduct periodic member community focus groups to identify membership's perception of needs.
  • Research and identify internal and external barriers/social root cause that impact members' ability to achieve optimal health and wellness.
  • Research existing, and keep abreast of new, community based, grass roots, governmental, health, and other resources available in the assigned communities that could benefit members' ability to improve health outcomes.
  • Establish and maintain collaborating relationships with identified organizations for member access and benefit.
  • Participate in direct member outreach and engagement as needed.
  • Design and implement interventions, applying data analytics, surveys, observations, and focus groups, addressing the priority social determinant needs of the community.
  • Make, community-based field, hospital, and other visits as needed to address social issues impacting health outcomes.
  • Participate in and/or lead MetroPlusHealth and external community activities, work groups and committees to promote availability of services to individuals and groups of members.
  • Coordinate efforts supporting individuals and groups to insure maximal effectiveness and communication.
  • Provide leadership to identify and remove barriers to project progress, promote the good of the company, resolve conflicts and ensure project goals are realistic and achievable.
  • Maintain timely, data dashboards and reports on program metrics/status, including but not limited to productivity, member health outcomes and periodic evaluations of program effectiveness including areas for improvement.
  • Collaborate with other MetroPlusHealth departments to insure adequate internal communication of services being provided through role.
  • Communicate verbally and in writing, regularly with the Chief Growth Officer, and other project stakeholders to apprise all regarding status of projects, issues impeding progress, and issues needing immediate escalation to Executive Staff.
  • Produce reports for regulatory bodies, leadership meetings, board meetings, providers, members, advocacy organizations, and public affairs. Develop patient population mapping, improve healthcare disparity access and care, create patient support programs, care coordination, early access screening and testing, shared decision-making tools, and enhance patient engagement strategies.
  • Insure appropriate public relations and publicity of activities and events.
  • Assist with sourcing and preparing grant applications to support ongoing program growth and expansion.
  • Assist with preparation of articles for publication in health care and other literature.
  • Participate in public speaking opportunities population health social determinants efforts.
  • Conduct Practice Observations and best practices for value-based care readiness.
  • Staff training and development and implementation of real time interventions, providing support as needed.
  • Implement revenue cycle documentation, coding and audit structure to ensure all gaps are addressed, documented and billed within 72 hours from time of service.
  • Liaise with Epic and IT to develop technical automation where possible.
  • Identify pharmacy management opportunities and promote medication adherence.
  • Coach on pre-visit planning and gap closure.
  • Manage Transitions of Care, following up and coordinating care for high-risk patients post hospital/ER discharge coordinate follow-up care.
  • Performs related duties, as required.

Minimum Qualifications

1. Graduation from an approved School of Medicine and completion of an approved residency and Board eligible; and,
2. N.Y. State license; and,
3. Five years of full-time paid experience in a responsible medical and clinical administrative and/or managerial capacity; or,
4. A Master's Degree from an accredited college or university in Hospital Administration, Health Care Planning, Public Health, Administrative Medicine, Business Administration, Public Administration or approved related program; and,
5. Eight years of progressively responsible experience in health and medical services administration, of which at least four years must have been in a managerial or administrative capacity.

Department Preferences

  • Someone who connects the dots between teams - a proactive communicator who puts individual projects into broader organizational objectives
  • Expert in Excel, Google Apps, project management
  • Pleasantly persistent approach
  • Quick learner comfortable with a high level of ambiguity
  • Prior experience with EPIC EMR/Willow Ambulatory
  • Advanced interpersonal skills
  • Excellent oral and written communication skills

How To Apply

If you wish to apply for this position, please apply online by clicking the "Apply Now" button.

NYC Health and Hospitals offers a competitive benefits package that includes:

  • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
  • Retirement Savings and Pension Plans
  • Loan Forgiveness Programs for eligible employees
  • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
  • College tuition discounts and professional development opportunities
  • Multiple employee discounts programs

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