Bachelor's Degree in Nursing, Social Work, Healthcare Administration, Public Health, or related field required.
Strong working knowledge of Population Health Management, Care Management operations, care coordination, HEDIS measures, quality improvement methodologies, NCQA standards, healthcare analytics, and value-based care principles.
3+ years of full-time acute care nursing, social work, case management, population health, health plan operations, or related clinical experience required.
3+ years of progressive leadership experience in Care Management, Population Health Management, Health Plan Operations, Quality Management, or related healthcare settings required.
Experience leading care coordination, care gap closure, quality performance improvement, HEDIS initiatives, population health programs, and multidisciplinary clinical teams required.
RN or BSW license in the state of employment required.