Senior Manager Population Health Provider Operations

Job Overview:

This role will be responsible for leading projects to support the delivery of high quality, low costcare and driving our providers toward the use of tools and processes to do so. We're looking for a senior leader who is technically capable of finding insights and turning insights into action.

Job Requirements:

Bachelor's Degree Healthcare Administration, Business Administration or related field (Required)
5 - 7 years Experience Healthcare, Population Health or related field (Required)
• Previous Healthcare experience and/or startup experience • Proficient in analyzing data sets to generate insights
• Strong communication skills to facilitate collaboration and influence stakeholders • Exceptional organizational skills, adept at prioritizing tasks effectively to consistently meet deadlines
• Experience developing and implementing systems and processes to achieve KPIs • Experience supporting growth through process, technology and offshore teams
• Thrives in a fast paced, metrics driven environment • Comfortable with ambiguity

Job Responsibilities:

• Develop and execute initiatives to support navigating members to high quality providers
• Business owner external Provider Directory and internal provider search tooling, leading our effort to continuously improve the usability and usefulness of our directory to match our strategy
• Quantitatively and qualitatively review directory utilization to identify opportunities to improve effectiveness
• Develop and improve methodologies to continuously evaluate our in-network providers based on quality, accessibility and patient experience to inform our care navigation initiatives
• Partner with key leaders across network, member service guide and clinical to enable teams to support care navigation efforts to improve the quality of seen specialists
• Partner with product and engineering to build directory and care navigation tools in support of goals
• Evaluate vendor landscape and manage vendor relationships

Other Related Information:

The Provider Operations team is responsible for delivering tight operations, meaningful data and analytics, user-friendly tools and content, and shared best practices across markets. Foundational to this strategy is our ability to be an engine of accurate provider data, which is inherently complex, messy, and ever-changing. Our ability to have accurate and accessible provider data allows us to better serve our members and providers, reduces our administrative cost and burden, and informs our strategic business decisions and core operations.

Working Conditions:

Bending - Rarely
Climbing - Rarely
Concentrating - Frequently
Continuous Learning - Consistently
Hearing: Conversation - Frequently
Hearing: Other Sounds - Frequently
Interpersonal Communication - Frequently
Kneeling - Rarely
Lifting <10 Lbs. - Rarely
Lifting 50+ Lbs. - Rarely
Lifting <50 Lbs. - Rarely
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Frequently
Standing - Frequently
Stooping - Rarely
Talking - Consistently
Thinking/Reasoning - Consistently
Use of Hands - Frequently
Color Vision - Frequently
Visual Acuity: Far - Frequently
Visual Acuity: Near - Frequently
Walking - Frequently

Leadership Performance Standards

TriHealth leaders create a culture of engagement, safety & reliability and high performance by consistently modeling and utilizing the following TriHealth Way leadership competencies, tactics and ALWAYS Behaviors to drive strategic pillar results:

Achievement of Annual Pillar Goals:
1) Safety/Quality, 2) Service, 3) Growth, 4) Culture/People, 5) Finance

Leadership Competencies:
TriHealth Way of Leading
TriHealth Way of Serving
Transformation Change
Drive for Results
Build Organizational Talent

Leadership Tactics:
Conduct department huddles. Generally, clinical departments hold daily huddles, non-clinical hold weekly huddles.
Regularly Round on Team Members, using questions from the rounding log.
- 25 or fewer team members = monthly
- 26-50 team members = every other month
- 51+ (and optional team members) = quarterly

Lead monthly team meetings using meeting agenda template; review stoplight report; cascade key leadership messages.

Model, coach and validate team members use of TriHealth Way behaviors (AIDET + Promise, Always Behaviors and Always HEARD).

Recognize team members for safety wins, positive performance and demonstrating SERVE and ALWAYS behaviors, TriHealth Way of Leading, Serving and Delivering Care.