Director of Population Health at Behavioral Health Network, Inc. in Springfield, Massachusetts

Job Description:

Description



The Director of Population Health provides competency in Population Health, Business Analysis, and in Quality Assurance & Improvement review.



ESSENTIAL JOB FUNCTIONS

• Provides expertise in defining, collecting, analyzing and providing operational recommendations for performance management based on healthcare information.


• Demonstrates competence at using analytic tools to uncover trends and significant findings in analyzed data to understand the complex needs of clients and systems of care.


• Conceptualizes and articulates an organizational understanding of health care data at the individual served, program, and system level, particularly how it impacts performance management and revenue cycle maximization.


• Utilizes expertise in facilitating, defining, and documenting report and information needs and acts as liaison between program and IS/IT staff.


• Provides supervision to Quality Supervisors and Quality Analysts on best practices on data collection, reporting, and analysis of data needs.


• Partners with Executive Leadership to define quality structure and staff roles within departments.


• Utilizes expertise at facilitating, defining and documenting various business and clinical workflows and using this information to improve data collection and efficacy.


• Provides expertise in the use of the Electronic Health Record (EHR) for documentation and reporting purposes.


• Understands and utilizes project management skills in managing multiple, concurrent projects and people.


• Organizes, convenes and oversees the BHN Quality Committee, focused on data, performance management, and improvement.


• Supervises staff who conduct audits of charts using criteria established by the organization.


• Assures that BHN is meeting all targets related to Value Based Payment (VBP) agreements contained in contracts.


• In collaboration with program management staff, develops a Quality Remediation Plan (QRP) in response to identified findings of non-compliance with organization/regulatory standards or performance metrics.


• Collaborates with Clinical Director to identify trends and implement solutions to enhancing the quality of care delivery.


• Oversees the development of, and compliance with, BHN's Performance Improvement Plan for CARF.