Director of Population Health & Information

Position Description

The Director of Population Health & Information Management holds a central role in ensuring that Harlem United’s FQHC community health clinics (the Nest and Willis Green) are successful and able to respond to a changing healthcare landscape. They maintain a focus on integrating health technology, data analysis, and standardized workflows through establishing and maintaining efficient systems to uphold regulatory standards, increase/maximize revenue generating opportunities, and enhance patient care outcomes. This position works in collaboration with clinic leadership, overseeing quality improvement projects, developing systems for quality assurance, tracking and reporting on clinical quality and productivity data, and enhancing infrastructure around policies and procedures. The combination of incorporating health information technology, data driven systems, and standardized operational workflows will allow the Director of Population Health and Information Management to lead the clinic’s transition to a Value Based Care model, ensuring the clinic's adherence to quality standards, response to changing regulatory requirements, optimization of profits. This position requires a dynamic individual who can effectively lead cross-functional teams, leverage data analytics, and drive initiatives to improve health outcomes at the population level.

Essential Job Functions

The following duties are mandatory requirements of the job:

Population Health:

• In collaboration with clinic leadership, this role will aid in the transition to a value-based care model by identifying new VBP opportunities, implementing strategies to improve care coordination, population health management, and appropriate coding and data documentation. This transition to value-based care is aimed at optimizing revenue generation, reducing missed opportunities, and providing high quality patient care.
• Collaborate to develop new clinical quality and population health innovations focusing on addressing needs for targeted patient population group, including the development and introduction of programs to address gaps in care, disparities in populations, and support for patients with identified SDOH needs.
• Supervises Data Analyst responsible for overseeing the Value-based Payment supplemental data submissions to maximize incentive earnings for performance-based programs.

Information Management

• Coordinate the process for template and documentation design and implementation in the EHR system to maximize workflow efficiency and address quality and fiscal concerns. This includes collaborating with the clinical team and billing department and serving as liaison with Information Technology (IT) Department as needed.
• Interact with all levels of an organization—clinical, financial, administrative, and information systems—that employ patient data in decision-making and everyday operations.
• Oversee transition to UDS and the implementation of FHIR for data submission to HRSA.
• Analyze and optimize operational processes to improve efficiency and reduce costs by identifying opportunities for streamlining workflows and enhancing resource utilization.
• Work with clinic leadership to help develop, review, and update policies, procedures, and protocols to align with regulatory requirements and industry standards, incorporating emerging technologies.

Quality Improvement & Assurance Initiatives:

• Lead quality improvement initiatives by analyzing data, establishing benchmarks, and identifying areas for enhancement.
• Collaborate with clinical teams to design and implement comprehensive quality assurance processes around appropriate scheduling systems, management of patient health records, patient retention in care, referral systems, and retrieval of outside reports and recall system for abnormal test results.
• Develop and update the Quality Management Plan and lead the Quality Management Committee.
• Monitor and assess patient satisfaction, implementing strategies to enhance the overall patient experience.
• Conduct monthly GEMBA walks to increase staff involvement in quality management and improve process management.
• Develop systems of data driven supervision for staff teams.

Data Analysis and Reporting:

• Utilize data analysis to identify trends, patterns, disparities, and areas for improvement in both clinical quality and operational efficiency.
• Oversee the collection, analysis, and reporting of clinical data to monitor quality indicators, measure performance, and support decision-making.
• Prepare and present reports on key performance indicators, quality metrics, and operational benchmarks for the executive team, QMC, and board.
• Develop robust data tracking systems and reporting mechanisms including dashboards, chart review processes, and trainings for proper documentation.
• Conducts/facilitates necessary preparation and data compilation for external audits, funder requirements, and incentive. This includes, but is not limited to, the following: UDS, DSRIP, eHIVQUAL, IPRO, QAAR, HEDIS, PCMH, CHCANYS projects, Managed Care programs/audits, DOH programs/audits, HRSA projects/audits.

Strategic Planning & Training:

• Contribute to the development of strategic plans for both clinical quality and operations, providing data driven insights and recommendations to leadership on long-term goals and objectives.
• Facilitate clinic changes related to new state mandates around addressing social determinants of health and population health initiatives (such as waiver 1115).
• Design and provide training sessions and educational programs to healthcare professionals on quality improvement methodologies, documentation best practices, integrating health technology, and internal operational policies and procedures.
• Collaborate with Health Services Managers to improve onboarding training and processes as well as develop ongoing assessment tools for performance evaluation.

Continuous Learning:

• Stay informed about industry trends, emerging technologies, and changes in healthcare regulations affecting clinical operations, including transitions to value-based care, updates to annual regulatory reports, and new guidance from NYS or HRSA.

Education and Certification

• Master’s Degree in Public Health (or equivalent) required plus relevant work experience of 4 years or more in Population Health, QI/QA activities.

Special Skills and Knowledge

In addition to the above-listed job responsibilities and educational requirements, the ideal candidate for this position possesses most or all the following:

• Experience working with persons living with HIV/AIDS, HCV, histories of substance use and/or mental illness, and underserved populations
• Highly knowledgeable in the areas of HCV, HIV and substance use
• Demonstrated experience with program management, supervision and reporting
• Experience with Electronic Health Record (EHR), eClinicalWorks experience preferred.
• Database and report management (experience with data analysis software and EHR reporting)
• Statistical analysis and data validation
• Strong communication skills (both verbal and written) and interpersonal skills
• Strong research and problem solving skills
• Proficiency in all Microsoft applications
• Excellent organizational skills
• Ability to work independently and manage time effectively
• Effective leadership skills and the ability to maintain good working relationships
• Creative skills and make-it-work attitude

The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in order to perform the work. The health center reserves the right to revise or change job duties and responsibilities as the business need arises. Additionally, this job description is not intended as an employment contract, implied or otherwise, and the Center continues to maintain its status as an at-will employer.

If the essential functions of this position cannot be performed in a satisfactory manner by the employee, reasonable accommodations may be made.