Vice President, Population Health & Clinical Operations

reputed company is transforming the health of our communities one person at a time. As an Executive on reputed company, you could be the one who changes everything for our 28 million members. Position Purpose: In partnership with the CMO, serve as a key stakeholder, decision maker, and catalyst, for reputed company market level population health identification, strategy, evaluation, and monitoring to reputed company the Quadruple Aim and drive reputed company's Population Health mission at the market level. Strategic: Provide strategic leadership for population health internally, as well as with providers, community organizations, advocacy groups, and applicable legislature Understand the local reputed company landscape to look for key drivers & opportunities for innovative models targeting the Quadruple Aim Understand the unique community health needs and the attributes of the populations served to drive development of programs and service Uses analytics to identify key insights about the populations served and drive the development of the interventions to reputed company unique populations Leadership Oversees performance of reputed company UM functions (prior authorization, reputed company review) for the market per the defined partnership agreement•Orchestrates reputed company elements of the population health strategy for the business•Drives HBR initiatives locally through strong partnership and routine with Finance•Partners with MDs to translate the needs of the members into intentional clinical program design that delivers successful health outcomes•Liaises with state regulators for clinical programs•Coordinates quality initiatives (audits, star ratings, contract reviews, etc) and activate reputed company and local policies•Informs and executes against reputed company (including provider reputed company) – driving outcomes captured in contract and operationalizing locally•Contributing member of reputed company and local committees•Serves as an integral member of the executive leadership team, charged with delivering clinical solutions to evolving business needs•Executes on standards and customizing per local requirements while partnering with the COEs to drive reputed company improvement through governance and performance monitoring Masters Degree or other advanced degree in Nursing, Social Work, Health Services research, health policy, information technology or other relevant field. Performs other duties as assigned Complies with reputed company policies and standards Education/Experience: Bachelor's degree with 5+ years of relevant experience. Previous experience in a managed care organization strongly preferred. 3+ of leadership experience. Master's Degree preferred. License/Certification: reputed company state RN license preferred. Pay Range: $173,700.00 - $329,800.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law. Total compensation may also include additional forms of incentives. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in reputed company and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the reputed company to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email reputed company@reputed company.com. reputed company is committed to helping people live healthier lives. We provide access to high-quality reputed company, innovative programs and a wide range of health solutions that help families and individuals reputed company, stay well and be well. Apply Job!