Director of Population Health Management

Responsibilities

• Develop and execute comprehensive population health strategies aligned with organizational goals and value-based care contracts
• Lead performance improvement across HEDIS measures, including preventive care, chronic disease management, and medication adherence
• Drive CMS Star Rating performance through strategic planning and cross-functional improvement efforts
• Lead HCC capture and RAF optimization programs for Medicare Advantage and risk-based populations
• Oversee HCC coding auditing, documentation improvement, and risk adjustment strategy
• Build and oversee population health data infrastructure, including dashboards and predictive analytics
• Manage and develop a team of managers and analysts across population health and data functions
• Present performance metrics and strategic recommendations to senior leadership and medical staff

Requirements

• Bachelor's degree in Healthcare Administration, Public Health, or a related field
• Minimum of 7 years of experience in population health management, healthcare quality, or value-based care
• Minimum of 5 years in a leadership or management role
• Expertise in HEDIS measures, CMS Star Ratings, and value-based care quality programs
• Proven experience in HCC/RAF optimization and risk adjustment strategy
• Proficiency with healthcare analytics tools, EMR systems (Epic/Cerner), and business intelligence platforms
• Strong communication skills with the ability to present complex data to executive leadership and physicians

Preferred Qualifications

• Master's degree (MBA, MPH, or MHA)
• Experience with Lean/Six Sigma methodology in healthcare quality improvement
• Experience managing population health programs for Medicare Advantage populations of 10,000+ members
• Background in predictive modeling and advanced analytics for patient risk stratification

About the Company

Recognized among the Best Hospitals for 2025–26 and ranked 8th in California, Torrance Memorial continues to set the standard for quality and innovation in health care. Our culture is built on teamwork, integrity, and a deep commitment to our patients and community.