Director of Population Health & Care Management (4130)

## Description
**Essential Responsibilities**
**Population Health Leadership**

• Develop and execute the organization’s Population Health strategy in alignment with WFM’s clinical strategies
• Establish priorities for improving health outcomes across defined patient populations.
• Lead initiatives to improve preventive care, chronic disease management, and care gap closure.
• Oversee patient registries, risk stratification methodologies, and outreach strategies.
• Monitor and improve organizational performance on UDS, HEDIS, value-based care, and other quality measures in collaboration with the Director of Clinical Quality, Safety, and Risk.
• Evaluate the effectiveness of population health interventions and recommend improvements.

**Care Management Leadership**

• Provide executive oversight of the Care Management Supervisor.
• Ensure effective delivery of care management services for high-risk and medically complex patients.
• Oversee programs including:
• Care Management (nursing and social work)
• Children and Pregnant Women (CPW) programs
• Community Health Workers (CHWs)
• Transitional Care Management
• Chronic Disease Management
• Promote standardized workflows and evidence-based care management practices.
• Ensure care management resources are aligned with organizational priorities.

**Value-Based Care**

• Collaborate with executive leadership on value-based care strategy.
• Support implementation and optimization of value-based payment programs.
• Monitor contractual quality and utilization performance.
• Identify opportunities to improve performance under value-based payment arrangements.
• Collaborate with payer partners on quality improvement initiatives.

**Population Health Analytics**

• Lead development and use of population health dashboards in collaboration with Informatics
• Translate clinical and claims data into actionable operational strategies.
• Monitor trends in utilization, quality, access, and patient outcomes.
• Support physician and operational leaders through meaningful performance reporting.
• Utilize data to prioritize organizational improvement initiatives.

**Leadership and Collaboration**

• Develop annual departmental goals, budgets, and staffing plans.
• Recruit, mentor, and develop high-performing leaders and staff.
• Foster collaboration across clinical departments and operational teams.
• Serve as a resource to physicians and clinical leaders regarding population health strategies.
• Partner closely with the Director of Clinical Quality, Safety & Risk to ensure alignment between quality improvement and population health initiatives.

**Regulatory Compliance**

• Ensure compliance with applicable federal, state, HRSA, and payer requirements.
• Maintain knowledge of evolving value-based care and population health models and best practices.
• Support organizational readiness for regulatory reviews and audits.

**Knowledge, Skills, and Abilities**

The successful candidate will demonstrate

• Strong strategic thinking and systems leadership.
• Ability to translate complex data into operational improvements.
• Knowledge of care management principles and population health methodologies.
• Understanding of value-based payment models and quality measurement.
• Excellent leadership, communication, and relationship-building skills.
• Ability to lead organizational change across multidisciplinary teams.
• Strong financial and operational management skills.
• Commitment to continuous improvement and patient-centered care.

## Qualifications

**Director of Population Health & Care Management**

**Reports To:**Chief Clinical Officer

**Position Summary**

The Director of Population Health & Care Management provides strategic and operational leadership for Waco Family Medicine’s Population Health and Care Management programs. The Director is responsible for improving the health of defined patient populations through data-driven clinical strategy, value-based care initiatives, and comprehensive care management services.

Working collaboratively with physicians, nursing leadership, operations, behavioral health, pharmacy, dental, SDOH teams, and payer partners, the Director develops and implements strategies that improve clinical quality, patient outcomes, patient experience, and total cost of care. The position provides oversight of the Care Management Supervisor and is accountable for the organization’s population health performance.

**Minimum Requirements**

• Registered Nurse (RN) or equivalent Master's degree (MHA, MPH, MBA) with clinical experience
• Healthcare leadership experience.
• Experience leading care management, population health, and quality improvement initiatives.
• Demonstrated experience supervising multidisciplinary teams.
• Experience using healthcare data to drive operational improvement.

**Preferred Requirements**

• Experience in an FQHC, ambulatory care, or integrated delivery system.
• Experience with value-based care programs and payer performance initiatives.
• Experience with population health analytics, registries, and quality reporting.
• Five years of healthcare leadership experience
• Lean, Six Sigma, or other quality improvement training preferred.