Evolent Health Population Health Manager in Worcester, Massachusetts

Your Future Evolves H ere

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.

Are we growing? Absolutely—70.3% in year-over-year revenue growth in 2017. Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016 and 2017, and one of the “50 Great Places to Work” in 2017 by Washingtonian, and our CEO was number one on Glassdoor’s 2015 Highest-Rated CEOs for Small and Medium Companies. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.

Community Health Connections, based in Fitchburg, MA, is a member of Community Care Cooperative (C3), an organization formed by a network of Federally Qualified Health Center (FQHCs) located throughout the Commonwealth of Massachusetts. C3, a 501(c)(3) non- profit Accountable Care Organization (ACO), is taking responsibility for managing the cost and quality of health care for MassHealth enrollees. C3’s vision is transforming the health of underserved communities. As a member of C3, Community Health Connections is uniquely positioned to be a true innovator in meeting quality goals and reducing cost of care for a large Medicaid population.

Under the direction of the Senior Director of Community Care Cooperative’s Clinical Operations and collaborating closely with the C3 office of Primary Care Transformation, you as the Population Health Manager (PHM) will be responsible for driving value-based care initiatives at Community Health Connections. Partnering closely with Community Health Connections leadership, providers, and staff, you will integrate C3’s clinical programs and resources into the practice workflows with the intent to optimize the enrollee experience, and positively impact provider engagement and quality of care provided.

As the PHM, you will work at Community Health Connections to build relationships to support provider engagement, clinical practice transformation and ensure Triple Aim achievement by conducting the key functions below:

  • Play a critical role in performance management by identifying gaps and root cause operational issues, both through data and operational observation, by providing feedback and education, and by guiding actionable initiatives from the gaps and root causes identified

  • Assist the local care team in Integrating and succeeding in localizing the Model of Care and the goals of the Model of Care.

  • Work with Community Health Connections and C3 team to Implement Complete Coding programs and achieve annual program goals

  • Work with Community Health Connections and C3 team to implement pay-for-performance programs and achieve annual program goals

  • Consistently seek to enhance the FQHC’s engagement in Pay for Performance and Complete Coding activities to achieve annual goals.

  • Lead the transition of innovative ideas from pilot to implementation and share best practices across all markets

  • Assist with various aspects of managing the Model of Care, including, specialty referral strategies, co-management agreements, provider meetings, improving enrollee access and improving enrollee experience.

  • On a regularly established schedule, review financial (cost and utilization) and quality performance reports

  • Assist the FQHC in achieving total cost of care and quality performance.

  • Engage in strong relationship building by identifying go-to clinical and administrative leaders and leveraging practice relationships to engage, implement, and sustain Model of Care initiatives and programs

  • Co-facilitate and or lead practice manager forums/meetings related to value based care initiatives

  • Provide EMR, Identifi Practice, and other technology training in the practice; serve as a resident expert on these applications/tools.

  • Facilitate provider and staff education through structured ongoing training

The Experience You Need (Required):

  • Bachelor’s Degree

  • 5 years of leadership experience in practice management, provider relations and project management

  • Excellent written and oral presentation skills, with the ability to engage, inspire, build credibility and trust

  • Highly organized and self-motivated individual with ability to adapt to various work spaces and work autonomously

  • Collaborative working style with the ability to work across different teams, areas of expertise, and adapt to ambiguous environments and clientele

  • Hypothesis driven to identify trends, predict issues, highlight critical areas, and develop corrective action plans

  • Must have a valid Driver's License and ability to travel locally/regionally up to 80% of the work day

  • Proficient in Microsoft Office products (Excel and PowerPoint)

Finishing Touches (Preferred):

  • 3 years experience in practice re-design work including Patient Centered Medical Home, Practice Transformation, Quality Improvement, ACO development, Ambulatory Care, Quality and Efficiency metrics, and EMR

  • Training in LEAN or other process improvement methodologies

  • IPA and/or health plan experience with a provider perspective and strong orientation to value-based care principles and the health policy landscape

  • Working knowledge of clinical quality metrics such as RAF, HEDIS, NCQA or National Quality Forum type metrics

  • Experience in data analytics comprehension

  • Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion

  • Fluency in a non-English language

  • Strong work ethic built on a foundation of proactivity and teamwork

  • Ability to navigate ambiguity with the aid of structured problem solving techniques

  • Committed to the practice of inquiry and listening

  • Flexible work schedule – may need to work evenings/ occasional weekends to provide enrollee access and/ or follow up

  • Computer proficiency in Microsoft Office

  • We are looking for team members who possess high energy, a strong work ethic, integrity, who are kind and empathetic, have a sense of humor, and who enjoy working for a collaborative, team oriented system

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.