CrawlJobs Logo

Systems Director, Population Health Service Organizations

americannursingcare.com Logo

American Nursing Care

Location Icon

Location:
United States , Phoenix

Category Icon
Category:
IT - Administration

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

67.92 - 101.02 USD / Hour
Save Job
Save Icon
Apply Position

Job Description:

The System Director of IT Population Health Services Organization (PHSO) is a leader responsible for the strategic oversight, architecture, and operational performance of IT systems and applications that support population health management, managed care operations, and end-user support services within a Population Health Services Organization (PHSO). This role is pivotal in driving the successful implementation and optimization of platforms used for care coordination, risk stratification, quality improvement, and payer-provider integration, ensuring alignment with the organization's value-based care and health equity goals.

Job Responsibility:

  • Lead the design and implementation of IT systems that support managed care and population health objectives
  • Align systems architecture with organizational strategies related to value-based care, ACOs, Medicare Advantage, Medicaid, and commercial payer programs
  • Oversee integration of clinical and claims data to support whole-person care
  • Ensure systems support care coordination workflows, care management documentation, and chronic condition tracking
  • Manage platforms that support risk stratification, predictive modeling, and attribution logic
  • Collaborate with clinical leadership to build technology-enabled pathways for preventive care, care gaps, and patient engagement
  • Lead and mentor the End User Services team, ensuring excellent IT support for clinicians, case managers, analysts, and administrative staff
  • Develop and monitor SLAs, support KPIs, incident response times, and user satisfaction metrics
  • Oversee help desk operations, ticketing systems, desktop support, hardware/software provisioning, and user access governance
  • Direct the architecture and scalability of population health IT platforms and managed care applications
  • Ensure systems are resilient, secure, and compliant with federal, state, and local data privacy laws
  • Work with infrastructure and cloud teams to manage hosted environments and ensure system availability
  • Support interoperability between EMRs/EHRs, payer systems, HIEs, and third-party applications using FHIR, HL7, X12, or APIs
  • Ensure high data quality and integrity across disparate sources including clinical, claims, SDoH, pharmacy, and utilization data
  • Partner with analytics teams to enable performance dashboards, financial risk reports, and contract performance monitoring
  • Ensure systems support HEDIS, STARS, CAHPS, and other regulatory and quality reporting requirements
  • Identify system enhancements to support accurate and timely reporting of key population health and managed care metrics
  • Manage vendor relationships for care management, analytics, and managed care platforms (e.g., EZCap, QNext, Innovaccer)
  • Lead cross-functional projects for new implementations, upgrades, or enhancements
  • Track and report project timelines, risks, and success metrics
  • Ensure all systems comply with HIPAA, NCQA, CMS, and state/federal regulations
  • Participate in data governance committees to maintain data stewardship and documentation standards
  • Demonstrate effective financial stewardship by performing cost benefit analysis, and recommend solutions within corporate policies and standards
  • Lead and mentor System Managers, architects, developers, and integration engineers, fostering a culture of innovation, collaboration and continuous learning
  • Working with the CRO, holds accountability for cybersecurity related to PHSO applications and data movement
  • Partnering with the CRO, responsible for appropriate role based access control, accesses, and provisioning
  • Ensure system compliance with SOC2 type 2 standards

Requirements:

  • Bachelors Of Science - Information Technology, Health Informatics, or related field required
  • Masters Of Science - Information Technology, Health Informatics, or related field preferred
  • 10+ years in healthcare IT, with 5+ years in a leadership role
  • Experience with managed care models (Medicare Advantage, ACO, Medicaid), HIE integration, and population health tools (e.g., Epic EZCap, QNext, Healthy Planet, Innovaccer,)
  • Experience with FHIR, HL7, CCD, APIs, and other interoperability standards
  • Familiarity with ACO, CIN, and value-based care models
What we offer:
  • medical
  • prescription drug
  • dental
  • vision plans
  • life insurance
  • paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
  • tuition reimbursement
  • retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Additional Information:

Job Posted:
December 17, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Icon
American Nursing Care - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Systems Director, Population Health Service Organizations

Full Time Alternate Level of Care Community Nurse

The Alternate Level of Care (ALC) Community Nurse will ensure that hospital goal...
Location
Location
Canada
Salary
Salary:
44.19 - 57.68 CAD / Hour
riversidehealthcare.ca Logo
Riverside Health Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • University degree in Health or Social Sciences field
  • or College Diploma with five (5) years’ work experience in the health and /or social work field
  • Clinical experience
  • Experience in rural nursing, working with indigenous people
  • Knowledge of community programming, long term care, convalescent care and other health and services agencies – locally and regionally
  • Work experience in primary care
  • Knowledge of Informed Decision Making, Patient Capacity, Patient Rights an Consent for Treatment
  • Possess effective oral and written communication and organizational skills
  • Strong interpersonal and team building skills
  • Demonstrated initiative and experience working independently and with minimal supervision
Job Responsibility
Job Responsibility
  • Work to create/broaden partnerships with allied health and social wellness partners throughout the region to transition ALC patients more effectively from hospital to community programming, home, and long-term care (LTC)
  • Proactively engage with local and regional allied health and social wellness partners to develop pathways that will avoid ALC designations by addressing patient/client needs and barriers pre-emptively
  • Become involved in creating strategies that lead to early identification of potential ALC patients in the community and hospital setting
  • Examine causes of delayed transitions for ALC patients and, as part of an interdisciplinary team, design approaches to counter the delays
  • Collaborate with health partners to collect, analyse, and critically evaluate data as it relates to ALC patient trends for the Rainy River District
  • Facilitate transitions of care
  • Be physically present for warm hand-offs to ease the transition for the ALC patient moving from hospital to home care (nursing/PSS)
  • Be physically present for ALC patient discharges from hospital to home for those with little to no caregiver support
  • Complete regular, on-site check-ins for assessment of instrumental activities of daily living for this patient population
  • in facilitating transitions from Hospital to long-term care
  • Fulltime
Read More
Arrow Right

Alternate Level of Care Community Nurse

The Alternate Level of Care (ALC) Community Nurse will ensure that hospital goal...
Location
Location
Canada
Salary
Salary:
44.19 - 57.68 CAD / Hour
riversidehealthcare.ca Logo
Riverside Health Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • University degree in Health or Social Sciences field
  • or College Diploma with five (5) years’ work experience in the health and/or social work field
  • Clinical experience is an asset
  • Experience in rural nursing, working with indigenous people is an asset
  • Knowledge of community programming, long term care, convalescent care and other health and services agencies – locally and regionally
  • Work experience in primary care is an asset
  • Knowledge of Informed Decision Making, Patient Capacity, Patient Rights and Consent for Treatment
  • Possess effective oral and written communication and organizational skills
  • Strong interpersonal and team building skills
  • Demonstrated initiative and experience working independently and with minimal supervision
Job Responsibility
Job Responsibility
  • Work to create/broaden partnerships with allied health and social wellness partners throughout the region to transition ALC patients more effectively from hospital to community programming, home, and long-term care (LTC)
  • Proactively engage with local and regional allied health and social wellness partners to develop pathways that will avoid ALC designations by addressing patient/client needs and barriers pre-emptively
  • Become involved in creating strategies that lead to early identification of potential ALC patients in the community and hospital setting
  • Examine causes of delayed transitions for ALC patients and, as part of an interdisciplinary team, design approaches to counter the delays
  • Collaborate with health partners to collect, analyse, and critically evaluate data as it relates to ALC patient trends for the Rainy River District
  • Facilitate transitions of care
  • Be physically present for warm hand-offs to ease the transition for the ALC patient moving from hospital to home care (nursing/PSS)
  • Be physically present for ALC patient discharges from hospital to home for those with little to no caregiver support
  • Complete regular, on-site check-ins for assessment of instrumental activities of daily living for this patient population
  • Facilitating transitions from Hospital to long-term care
  • Fulltime
Read More
Arrow Right

Director, Account Management - TPA

Account management leadership isn't about overseeing transactions—it's about bui...
Location
Location
United States , Tempe
Salary
Salary:
130000.00 - 150000.00 USD / Year
personifyhealth.com Logo
Personify Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree or equivalent in related discipline
  • 10+ years experience in population health, health plan, health system growth, or related field
  • Sales and/or Account Management experience along with healthcare and/or data analytics experience required
  • TPA or health plan experience required
  • 5+ years leading and developing teams in matrix organization
  • Proven expertise in account service/consultative selling techniques, product knowledge, procedures, and administration
  • Solid understanding of employee benefits and managed care products, self-funded business, labor community, pharmacy, and stop loss underwriting and pricing disciplines
  • Proficiency with Microsoft Office Suite and Salesforce
  • Strong business acumen with knowledge of current practices, trends, benchmarks, and competitive landscape in healthcare
  • Understanding of US and/or global healthcare ecosystem and employer-sponsored coverages
Job Responsibility
Job Responsibility
  • Lead account management team: Manage Strategic Account Executives and Account Managers supporting a portfolio of Fortune 500, national, and global clients, developing and instilling consistent standards of excellence while guiding a diverse, high-performing team
  • Drive commercial accountability: Own reliable revenue, expansion, and retention targets across your portfolio, ensuring team delivers on growth objectives through renewals, expansions into new products and services, and proactive risk mitigation
  • Provide pipeline oversight: Deliver meaningful insights and leading indicators of revenue growth and risk to leadership through diligent, accurate pipeline management and oversight of client revenue, opportunities, and retention trending
  • Develop and coach team members: Provide thoughtful feedback, development opportunities, recognition, and ongoing direction through consistent, well-prepared team meetings, 1:1s, and timely performance reviews
  • Model executive engagement: Demonstrate how to build rapport and establish credibility with account stakeholders at strategic levels (CHRO, VP Total Rewards) through consistent executive presence, domain knowledge depth, and diligent preparation
  • Guide strategic client planning: Coach team to proactively identify client objectives, challenges, and leadership priorities while uncovering barriers and developing actionable, client-specific strategic plans that maximize satisfaction and ROI
  • Oversee business reviews and presentations: Ensure team delivers high-quality business reviews that derive insights from data, help clients plan future direction with health cost insights, and present product capabilities and thought leadership effectively
  • Lead pricing and negotiations: Provide oversight and support for pricing, proposals, RFPs, contract management, and negotiations to secure favorable outcomes
  • Monitor contract compliance: Ensure all client contractual obligations are met across portfolio while communicating contractual risks to appropriate Personify Health leadership
  • Collaborate cross-functionally: Work across internal teams to improve processes and products while recognizing those supporting team success and ensuring seamless service delivery
What we offer
What we offer
  • Competitive base salary and benefits effective day one
  • Comprehensive medical and dental through our own health solutions
  • Unlimited PTO
  • Mental health support, retirement planning, and financial protection
  • Professional development with clear career progression and learning budgets
  • Mission-driven culture where diverse perspectives drive real impact on people's health
  • Fulltime
Read More
Arrow Right

Behavioral Health Medical Director

The Behavioral Health Medical Administrator (Medical Director) directs, leads, a...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 3 years of experience in a clinical setting
  • 1 year of experience in physician leadership role, including quality review, utilization review, population health and other managed care functions
  • Medical Degree
  • Active, current, and unrestricted license to practice medicine in the State of Arizona (a state in the United States)
  • Board Certification in general psychiatry, or adult and child/adolescent psychiatry, through the American Board of Psychiatry and Neurology
  • Requires knowledge and skills in state (Arizona) and federal behavioral health regulations, requirements for publicly funded services, delivery, operations, and licensure.
  • Knowledge of managed care concepts and practices
  • and emerging and best practices for adult & children’s integrated care programs.
  • Ability to use electronic word processing, email, and electronic database resources.
  • Excellent customer service and oral/written communication skills
Job Responsibility
Job Responsibility
  • Directs, leads, and provides professional oversight for medical management and population health activities related to behavioral health utilization management, case and care management, disease management, performance improvement, and quality management activities.
  • Supports collaborative relationships with physicians and hospitals to achieve mutually acceptable business goals in compliance with AHCCCS and CMS regulations.
  • Provides physician leadership and medical oversight in the design, implementation and review of clinical services, best practices, care management, medical management and quality management.
  • Serves as liaison between the Medicaid Business Segment and medical and behavioral health practitioners at stakeholder and provider agencies.
  • Participates in aggregate and member-level clinical analyses for quality management, quality of care concerns, peer review, medical management, and utilization review processes.
  • Reviews and authorizes requests by providers and treatment coordinators for services or programs requiring prior authorization.
  • Participates in the design and implementation of best practices, clinical standards, protocols, and treatment guidelines.
  • Participates in credentialing, re-credentialing and competency processes for providers.
  • Assists care managers with care management of high risk/high-cost members.
  • Participates as a member or chair of internal and external committees.
  • Parttime
Read More
Arrow Right

Health Worker 4

This is a Citywide Exam posting. Your application to this posting is an applicat...
Location
Location
United States , San Francisco
Salary
Salary:
95186.00 - 115804.00 USD / Year
sf.gov Logo
City and County of San Francisco
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Three (3) years of verifiable experience within the last five (5) years, performing a combination of at least two (2) of the following duties: Serving as a liaison between targeted communities and healthcare agencies
  • Providing culturally appropriate health education/information and outreach to targeted populations
  • Providing referral and follow up services or otherwise coordinating care
  • Providing informal counseling, social support and advocacy to targeted populations
  • Escorting and transporting clients
  • Providing courier/dispatcher functions
  • Performing pre-clinical examinations of vital statistics, such as measuring a patient's weight, height, temperature and blood pressure
  • Possession of a Community Health Worker Certificate from City College of San Francisco can substitute for 6 months of the required experience
  • Bilingual Proficiency in a variety of languages (for some positions)
  • Ability to: work effectively in diverse, multicultural environments by understanding the ethnic, economic,and social factors affecting communities
Job Responsibility
Job Responsibility
  • Supervise a specific health or rehabilitation program
  • plans, directs, and coordinates the educational, recreational, therapeutic and work projects of the program participants as directed by professional staff
  • Supervise and train lower classification of paraprofessional personnel in the skills required for successful performance of their assigned duties
  • assist in preparation of in-service training materials
  • provide liaison with Team Leaders regarding function and performance of Health Workers I, II, and III
  • Meet with representative of the local community and professional and social agencies to inform them of the scope of available treatment programs and to elicit their cooperation and support
  • provide community education services
  • Assist in planning and execution of programs and operations, research projects, and reports, as directed
  • evaluate data and suggest programs in the preventive areas of social and health adjustments
  • Interview and screen program clients, identifying general client condition
  • Fulltime
Read More
Arrow Right

Manager Nursing Services

The Nursing Services Manager coordinates the various disciplines and leads the d...
Location
Location
United States , West Allis
Salary
Salary:
Not provided
rogersbh.org Logo
Rogers Behavioral Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree preferred
  • 2-4 years nursing experience required
  • Wisconsin Registered Nurse license, current and in good standing, is required
  • A minimum of two (2) years’ experience in a supervisory/management role is strongly preferred
  • American Heart Association Healthcare Provider CPR certification or American Red Cross Professional Rescue is required within thirty (30) days of date-of-hire. Annual re-certification is required
  • Formal training in management of the aggressive patient within sixty (60) days of date-of-hire. Annual re-certification is required
  • Clinical experience in mental health or chemical dependency services is required
Job Responsibility
Job Responsibility
  • Responsible for all aspects of patient care provided in the clinical program
  • Apply established standards of care to insure a safe, therapeutic patient care environment
  • Act as back up to charge nurse ensuring communication with admissions regarding discharges and coordination of admissions
  • Provide direct services if necessary
  • Meet with patient/family to resolve concerns, address complaints, and answer questions that charge nurse has been unable to resolve. Advocate for the resolution of care issues, accessing resources in support of the patient
  • Develop collaborative relationships with other levels of care to facilitate appropriate referrals between programs
  • Promote department services by giving internal and external presentations about the department in conjunction with the Marketing department, as appropriate
  • Communicate with medical staff to promote positive relations and to provide quality services
  • Develop and evaluate outcome surveys to use with Marketing and Rogers Operating System (ROS) activities
  • Facilitate intra-department communication and oversee patient care and safety
What we offer
What we offer
  • New Employee Retention Bonus Up to *$15,000 retention bonus available!
  • Health, dental, and vision insurance coverage for you and your family
  • 401(k) retirement plan
  • Employee share program
  • Life/disability insurance
  • Flex spending accounts
  • Tuition reimbursement
  • Health and wellness program
  • Employee assistance program (EAP)
  • Fulltime
Read More
Arrow Right
New

Program Director, Community Health & Wellness

The Program Director, Community Health & Wellness (CHW), serves as a strategic l...
Location
Location
United States , Surprise
Salary
Salary:
81000.00 - 95000.00 USD / Year
sunhealth.org Logo
Sun Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree in healthcare administration, business, consumer, finance or related field
  • Minimum of 5+ years of progressive leadership experience in healthcare, wellness, nonprofit, or community-based programming
  • Experience with program development, community engagement, and funding/grant strategies strongly preferred
  • Must possess or be able to obtain a Level 1 Arizona Fingerprint Clearance Card
  • Requires reliable transportation in employee provided vehicle, current Driver's license and auto insurance
  • Strategic thinker with the ability to translate vision into actionable plans and measurable outcomes
  • Entrepreneurial mindset with experience building or scaling programs, services, or business units
  • Strong financial acumen, including experience with budgeting, revenue models, and funding strategies
  • Exceptional leadership and team development capabilities
  • Advanced collaboration and stakeholder management skills across clinical, operational, and community environments
Job Responsibility
Job Responsibility
  • Define and execute a forward-looking strategic plan for CHW that aligns with Sun Health's mission, growth objectives, and commitment to healthy longevity
  • Serve as a thought leader and ambassador for community wellness, elevating Sun Health's presence and influence in the region
  • Identify emerging trends in wellness, prevention, and community health to continuously evolve programming and delivery models
  • Design and scale innovative, evidence-informed programs that meet the evolving needs of diverse community populations
  • Lead the development of program models that are sustainable, measurable, and impactful
  • Integrate Vibrant Living initiatives into community-based offerings, extending their reach beyond residential communities
  • Partner with marketing teams to ensure consistent messaging and strong visibility of CHW programs
  • Build and maintain strategic partnerships with nonprofits, healthcare providers, and community organizations to expand reach and avoid duplication of services
  • Strengthen pathways that introduce community members to Sun Health services, programs, and philanthropic opportunities and position CHW as a central connector
  • Develop and execute funding strategies that leverage grants, donations, sponsorships, and earned revenue
What we offer
What we offer
  • Comprehensive health benefits (Medical, Dental & Vision)
  • 401k with immediate vesting and up to 4% employer match
  • Tuition Reimbursement
  • Exclusive discounts through The Employee Network
  • Access to the Employee Association, supporting team members in need
  • eligible for up to 20% base bonus variable pay program
  • Fulltime
Read More
Arrow Right

Clinical Nurse Coordinator

As a Clinical Nurse Coordinator (Charge RN) you will work under the general supe...
Location
Location
United States , Oconomowoc
Salary
Salary:
Not provided
rogersbh.org Logo
Rogers Behavioral Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Graduate of an accredited school of nursing
  • BSN Preferred
  • Psychiatric-Mental Health Nursing Certification (PMH-BC) preferred
  • Current licensure in the State of Wisconsin as a Registered Nurse, or current active multistate Registered Nurse License
  • Minimum of two years of experience as an RN preferred with experience in behavioral health
  • American Heart Association Healthcare Provider CPR certification is required within thirty (30) days of date-of-hire. Annual re-certification is required
  • Formal training in management of the aggressive patient within sixty (60) days of date-of-hire. Annual re-certification is required
Job Responsibility
Job Responsibility
  • Oversee patient care provided in the inpatient departments
  • Interact with the multidisciplinary team to learn the status of patient’s care
  • Provide direct services according to professional discipline and training
  • Delegate assignments
  • Complete required medical record documentation and correspondence in an accurate and timely manner
  • monitor the same with staff
  • Interact regularly with medical staff to promote open communication, mutual problem-solving, positive relations, and to provide quality services
  • Meet with patients and/or staff when patient is experiencing compliance struggles. Consistently demonstrate support to patient and the treatment process
  • Act as an advocate for patients and their families, assisting in conflict resolution as needed
  • Coordinate with admissions
What we offer
What we offer
  • Health, dental, and vision insurance coverage for you and your family
  • 401(k) retirement plan
  • Employee share program
  • Life/disability insurance
  • Flex spending accounts
  • Tuition reimbursement
  • Health and wellness program
  • Employee assistance program (EAP)
  • Fulltime
Read More
Arrow Right
Remote jobs Jobs by Category
Art and Entertainment Jobs Banking Jobs Call Center Jobs Construction Jobs Consulting Jobs Customer Service Jobs Education Jobs Energy Jobs Finance Jobs Gastronomy Jobs Health and Beauty Jobs Hospitality and Tourism Jobs Human Resources Jobs Insurance Jobs IT - Administration Jobs IT - Software Development Jobs Legal Jobs Logistics Jobs Manufacturing Jobs Marketing, Digital Marketing, SEO, SEM Jobs Media Jobs Nursing Jobs Office Administration Jobs Pharmacy Jobs Physical Work Jobs Public Relations Jobs Public Sector Jobs Purchasing Jobs Quality Control Jobs Real Estate Jobs Research and Development Jobs Sales Jobs
Job Positions Jobs by Country
United States Jobs United Kingdom Jobs India Jobs Canada Jobs Australia Jobs Germany Jobs Ireland Jobs Poland Jobs
Company
Blog Salaries About Us Contact
Follow Us
Facebook
X (Twitter)
LinkedIn
Instagram
CrawlJobs Group
ITFlashcards AllDevBlogs
© 2026 CrawlJobs Ltd. All Rights Reserved
Terms & Conditions Privacy Policy