Director of Population Health & Care Management (4130)

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.