Soma Capital Portfolio Jobs

VP, Population Health Care Navigation



Posted on Friday, June 14, 2024

Curative is looking for a VP of Population Health Outcomes, Care Navigation who is passionate and experienced in leading and identifying approaches resulting in industry leading health outcomes for Curative members. This role will work closely to design the efforts of our Care Navigator team which is at the core of the Curative member-oriented health plan. The Care
Navigator team helps patients navigate healthcare, engage in preventative care and partner with them to achieve their health goals. The Curative journey starts with the Care Navigator team and a member engaging baseline visit where members learn about their plan, discuss health goals and develop their personalized strategy with our combined clinical and care navigator team. How Curative continues to help our members access care and achieve their best health is the continued focus of this Care Navigator team and the role of our Population Health Outcomes, VP.

Essential Functions:
● Identify the most important health outcomes and metrics for our Care Navigation team to focus on with members, providers and partners in both the base line visit and ongoing member outreach and engagement
● Collaborate within the Care Navigation team and other cross-functional partners to deliver on process design, scaling operations, and optimizing member experience and approaches to drive optimal health outcomes.
● Work with teams to recommend and implement medical cost savings and population health initiatives driving quality outcomes, reduce unnecessary medical spend, and identify high performing providers and partners
● Lead direction of essential data compilation to analyze Curative medical outcomes and spend to direct Care Navigator baseline and follow-up focus outreach and member engagement
● Set both overall Care Navigation team goals and individual care navigator goals to drive desired member health outcomes

● Curative is rapidly growing, and is raising the bar in what people expect from their health plan. We’re looking for someone who can think creatively, has attention to detail, and can help us scale an aggressively growing business by identifying the health outcome metrics to focus on and the effective member engagement strategies to achieve them
● Work across health plan operations and clinical teams to drive KPI, quality and performance metrics resulting in superior member health outcomes
● Identify how we can improve our delivery through both internal capabilities and vendors (member outreach, digital options, artificial intelligence, population health programs)

● Lead member strategy care navigation outcomes and build-out across account management, marketing and customer service with program interfaces into network, clinical, pharmacy, marketing and compliance teams
● Establish key OKR metrics and tracking across internal teams and vendor partners
● Lead and participate in key medical cost savings initiatives that interface with Care Navigation actions, member health outcomes and cross organization

Please reach out if this describes your experience:
● Experience in driving population health and member health outcomes
● Collaboration with call center and other cross-functional partners to deliver on process design, scaling operations, program implementations and optimizing member experience and health outcomes
● Knowledge of employer group medical health coverage and health plan operations
● Experience in vendor contracting and performance management for health condition, disease management, or primary care concierge models
● Proven track record managing teams such as case managers, care navigator, or call centers to drive population health initiatives
● A strong desire to make healthcare better, to be part of a big change in the health insurance market

● 10+ years leadership experience within population health outcomes, case management, or health quality program
● Bachelor’s Degree
● Advanced Degree such as Master of Health Administration preferred
● Remote position, with occasional travel