Heartland Health Center (HHC) is a Federally Qualified Health Center (FQHC), which provides affordable and comprehensive primary and behavioral healthcare and dental care to medically uninsured, under-insured, and low- income individuals and families in Grand Island and surrounding communities. The Population Health Manager provides strategic leadership and operational oversight for HHC's Population Health Department. This position is responsible for planning, implementing, directing, and evaluating population health initiatives that improve clinical outcomes, patient engagement, quality performance, and access to care across the organization. The position collaborates with providers, clinical leadership, quality improvement teams, behavioral health, dental, pharmacy, and community partners to improve preventive care, chronic disease management, care coordination, and patient engagement through evidence-based, data-driven strategies. Essential Functions of the Population Health Manager

• Provide leadership, administrative and operational supervision, coaching, and performance management for the Population Health Department, including RN Case Managers, Clinical Care Coordinators, Referral Managers, Medical Records Specialist, Patient Resource Coordinators, and other assigned staff.
• Develop, implement, and oversee population health programs that improve patient outcomes, quality performance, preventive care, and patient engagement, in collaboration with the DON.
• Establish department goals, workflows, policies, procedures, and performance standards that align with organizational strategic initiatives.
• Monitor departmental productivity, quality metrics, UDS measures, value-based care performance, and other key performance indicators.
• Utilize data and population health reporting tools to identify high-risk populations, care gaps, and opportunities for improvement.
• Lead quality improvement initiatives that support chronic disease management, preventive care, care coordination, and health equity within their scope
• Collaborate with providers, nursing, dental, behavioral health, pharmacy, quality, and administrative leadership to improve care delivery and patient outcomes.
• Oversee care coordination processes, transitions of care, referral management, and patient engagement strategies across the organization.
• Develop and maintain collaborative relationships with hospitals, specialists, community organizations, managed care organizations, public health agencies, and other external partners.
• Ensure compliance with applicable healthcare regulations and other applicable federal, state, and organizational requirements.
• Analyze program performance and prepare reports, dashboards, and recommendations for leadership to support strategic decision-making.
• Review clinical and population health data to identify patient care needs, coordinate follow-up services, and engage patients in closing care gaps, managing chronic conditions, and accessing preventive and community-based resources.
• Lead the implementation and optimization of new programs, technologies, workflows, and evidence-based practices that improve operational efficiency and patient care.
• Promote interdisciplinary collaboration and facilitate regular care coordination and population health meetings.
• Develop educational resources and provide training, mentorship, and guidance to staff regarding population health initiatives, quality improvement, and care coordination best practices.
• Identify opportunities to improve patient access, reduce barriers to care, and enhance the patient experience through innovative population health strategies.
• Participate in organizational planning, strategic initiatives, grant activities, and accreditation or regulatory readiness efforts as assigned.
• Maintain current knowledge of population health, healthcare regulations, quality improvement methodologies, and emerging best practices. Education and Experience
• Bachelor's degree from an accredited college or university in Social Work or related field required.
• Community Health Worker (CHW) certification preferred. If not currently certified, the organization will support the employee in obtaining CHW certification when an approved training program becomes available
• Minimum of two (2) years of progressively responsible experience in healthcare, population health, care coordination, quality improvement, healthcare operations, or case management.
• Minimum of one (1) year of leadership, supervisory, project management, or program management experience preferred.
• Bi-lingual in English and Spanish preferred.

Benefits:

401(k) 401(k) matching Continuing education credits Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance Application Question(s): Do you have a Bachelor's of Social Work or related field (Human Services/Human Relations/Sociology)?

Education:

Bachelor's (Preferred)

Work Location:

In person