Population Health Manager

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Join our team!

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At MyCHN (My Community Health Network), we believe everyone deserves access to high-quality healthcare. As a nonprofit FQHC serving Greater Houston, we are committed to improving lives through compassionate, patient-centered care guided by our values of empathy, transparency, quality, and value
.

• Mission-driven organization serving diverse and underserved communities
• Opportunity to lead innovative population health programs
• Collaborative environment with clinical, operational, and quality leaders
• Meaningful impact on patient outcomes and community health
• Growth opportunities within an expanding healthcare organization

As a Population Health Manager
, you will lead the operational and strategic management of population health initiatives while driving patient engagement, quality outcomes, compliance, and financial sustainability.

Key Responsibilities:

• Lead daily operations for CCM, BHI, RPM, and care-gap closure programs
• Develop and optimize population health workflows, policies, and operational processes
• Establish and monitor enrollment, engagement, quality, and performance goals
• Oversee patient identification, outreach, enrollment, care planning, and ongoing engagement
• Manage RPM programs, including device deployment, monitoring, vendor coordination, and escalation workflows
• Drive quality improvement initiatives and care-gap closure strategies
• Collaborate with providers, care managers, behavioral health teams, quality, revenue cycle, IT, and external partners
• Supervise, coach, and develop population health staff
• Monitor program KPIs, productivity, documentation, and compliance requirements
• Manage reporting, auditing, budgeting, and operational performance
• Ensure adherence to HIPAA, payer requirements, and regulatory standards
• Support organizational value-based care and patient-centered care initiatives

What You Bring:

• Minimum of five years of experience in population health, care management, quality improvement, chronic disease management, behavioral health integration, remote patient monitoring, or a related healthcare function
• Minimum of two years of supervisory or program management experience
• Strong understanding of value-based care, quality measures, patient registries, risk stratification, and care coordination
• Experience utilizing electronic health records, population health platforms, and reporting tools
• Excellent leadership, communication, project management, and problem-solving skills
• Ability to analyze performance data and implement operational improvements
• Commitment to patient-centered care and health equity

Preferred:

• Degree in Nursing, Public Health, Healthcare Administration, Business Administration, Social Work, or a related field
• RN, LCSW, LPC, PharmD, CCM, CPHQ, PMP, Lean Six Sigma, or similar credentials
• Experience leading CCM, BHI, RPM, and care-gap closure programs
• Knowledge of Medicare, Medicaid, and commercial payer requirements
• Experience with in an FQHC, medical group, ACO, or value-based care environment

Join a team dedicated to improving population health outcomes, advancing whole-person care, and transforming healthcare delivery across our communities.