Population Health Specialist 4 – Orange, F/T Day Shift

Updated: Oct 11, 2022
Location: Orange
Job Type:
Department: Population Health

UC Title: POPULATION HEALTH SPEC 4
Position Number: 40324187
Reports to: Chief Financial Officer
Working Title: Population Health Specialist 4
Cost Center: Population Health (428585)
Bargaining Unit: No Bargaining Unit
FLSA: Exempt
Date Created: 10/10/2022
Job Code: 005791
Hours: 40
Shift: Days
FTE: 1
 
 
Position Summary: 
The incumbent will independently perform and coordinate complex healthcare data analysis and project management that results in the successful operation and management of the UC Irvine Health’s value based care programs including , but not limited to commercial and Medicare Accountable Care Organizations, Medicare’s CCMI models, pay for performance programs and delegated capitated plans. The incumbent is responsible for actionable analysis, education and process development that support strategies and activities related to financial, quality and operational performance under population health arrangements. Will adhere to contract and regulatory compliance, oversee reconciliation and reporting, and assess all data needed to recommend solutions. The incumbent will lead communications with internal and external stakeholders in matters related to performance and implementation of UCI Health population health arrangements.
 
Core Organizational Functions:
ACCOUNTABILITY: Responsible for the achievements and success of UC Irvine Health. Follows through and meets commitments; accountable for own actions and supportive of colleagues; presents self in appearance and actions in a manner that conveys professionalism and pride in area of responsibility;  projects a positive presence and ensures that work related or personal frustrations are kept separate from patient care and professional activities; takes responsibility for problems and solutions;  follows existing policies and procedures.
RESPECT: Foster an environment of mutual respect and trust among ourselves and with all whom we serve. Is always compassionate and empathetic for both patients and team members;  makes eye contact, smiles and or greets every individual using the individual’s name, if known; treats all guests and co-workers with the utmost respect, dignity, courtesy and respects their confidentiality; arrives to meetings on time; keeps personal conversations with other employees offstage, out of earshot of patients and visitors.
INTEGRITY: Tells the truth and strives to earn the trust of those around us. Takes pride in their work, being honest and accountable in their words and actions; meets or exceeds department defined service expectations; makes the right decision in the best interest of UC Irvine Health.
INNOVATION: Seeks ideas and approaches that can change the way the world discovers, teaches and heals. Approaches work creatively and continuously looks for new and flexible ways to solve problems; encourages and implements ideas to improve safety, customer service and operational performance; works to create efficient and effective systems so that  time is not spent repeating and fixing problems; initiates and supports change.
SERVICE: Collaborates to effectively and compassionately serve our patients, each other and the community. Anticipates customer’s needs; maintains a calm, quiet, healing environment;  accepts assignments graciously and carries out duties with pride;  recognizes that every individual has an area of expertise and his/her contribution is valuable;  keeps patients, families, customers and team members informed about time, thanks the person for waiting, and apologizes for delays.
EXCELLENCE: Committed to achieving the highest level of excellence in patient care, discovery and education. Demonstrates pride; practices humility; embraces greatness;  encourages and praises others for work well done;  learns to grow developing self and others personally and professionally; is  accurate and strives for excellence; creates a positive and productive work climate.
 
Required Qualifications: 
Ability to establish and maintain effective working relationships across the Health System
Ability to maintain a work pace appropriate to the workload
Must demonstrate customer service skills appropriate to the job
Excellent written and verbal communication skills in English
Strong financial, analytical and planning skills to effectively evaluate projects and new business opportunities
Strong commitment to the values of the organization: Academic Achievement, Respect, Integrity, Service and Excellence
Knowledge of capitation and capitation management, including risk evaluation methodologies necessary for designing reimbursement methodologies, calculating and evaluating reimbursement rates, and forecasting effect on revenues and expenses
Knowledge of managed care financial concepts and the healthcare field.  Knowledge of relevant state and federal regulations is required
Knowledge of physician and facility billing, reimbursements and third party regulations.
5-7 years’ experience working with value based contracts in a physician group and/or hospital environment understanding the administrative, finance and operational components of these contracts
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
Bachelor’s Degree in Business, Healthcare Management or a related field, or an equivalent combination of education and experience
 
 
Preferred Qualifications:
Knowledge of University and medical center organizations, policies, procedures and forms
 
 
Conditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act

• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php
Closing Statement:
The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI’s Employee Experience Center (EEC) at [email protected] or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.
Share:

mail

+1 on Google
Tweet
Share on Facebook
Share on LinkedIn

Apply for this Job