Director, Population Health Operations

Overview

As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.

It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you?

We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:

• Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.
• Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.
• Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients’ lives or our partners’ best interests.
• Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.
• Tenacity: We see challenges as opportunities for growth and improvement — especially when new solutions will make a difference for our patients and partners.

We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including:

• Subsidized, personal healthcare coverage (medical, dental vision)
• Flexible Paid Time Off (PTO)
• Professional Development, CEU, and Tuition Reimbursement
• Curated Wellness Benefits supporting teammates physical and mental well-being
• Community engagement opportunities
• And more!

The Director of Population Health Operations will oversee execution of established clinical protocols and care management programs operationally. The Director will be responsible for the Profit & Loss (P&L) of one or more clients/line of business and ensure alignments with operational standards. The director will be responsible for client/lob profitability and fostering client relationships to facilitate contract and growth goals. Additionally, he/she will address the need to improve the healthcare of the CKD/ESKD patient population while reducing the total cost of care.

He/she will lead and develop field-based healthcare teams tied to Population Health, affordability, and the value-based kidney care space.

This is a fully remote position.

Essential Duties and Responsibilities:

• Manage the total cost of care and clinical quality for assigned client/line of business under the guidance of the VP/ SVP of Operations.
• Manage book of business of regional payer/provider relationships; leads JOCs and operational improvement initiatives.
• Influences client and organizational strategy through data-driven insights; owns roadmap for new care model changes.
• Leads enterprise process optimization; drives automation, tech integration, and/or operational scalability.
• Assess areas of greatest opportunity within operational performance and target specific cost savings areas through evidence-based protocols and innovative care management strategies.
• Utilize technology and data analytics to inform and lead workflow optimization, strategy changes and operational focus that achieve organizational mission and financial goals.
• Research and adopt best practices and develop a deep understanding of how to impact the overall clinical and socio-economic management of CKD/ESKD patients positively.
• Manage multiple field-based operational teams for assigned client/line of business which are led by AVP/Operations Managers reporting to this role.
• Oversee performance of clinical quality outcomes and member experience and ensures team adherence to best practices.

• Responsible for program profitability and performance expectations and works through managers to deliver upon KPI expectations that will drive profitability (engagement rates, readmission prevention / timely transitions outreach, operating costs, etc.).
• Drives…