RN Registered Nurse Senior Manager Population Health

Position Summary The B-UMGP Population Health Sr. RN Manager would be tasked with leading the current population health staff deployed in both family and internal medicine, including our Arcadia location. This position would also dyad partner with our B-UMGP Population Health Physician leader and Director of Primary Care with the goal of closely aligning our population health strategy and focusing on coordination with system and BPN initiatives. This is a full‑time (40 hours/week), salaried, day shift position. Core Functions Serves as a program facilitator for value‑based arrangements, developing implementation schedules, procedures and programs, and maintaining payer products including related goals and objectives. Participates in development and implementation of select payer programs, short and long‑range goals and objectives, and determines the optimal progression to obtain these goals. Reviews, prepares, analyzes, and presents reports and recommendations to senior management to provide concise and accurate information for decision‑making; develops, reviews, and monitors financial outcomes using performance metrics. Acts as liaison between assigned payer and business; monitors projects to develop best practices, identify efficient processes, and ensure compliance with payer guidelines. Ensures risk adjustment accurately reflects membership health profiles and Medicare risk adjustment data to comply with CMS regulations and guidelines. Develops and maintains documentation for consistent and accurate administration of Risk Adjustment and Quality processes; stays current on CMS and payer requirements to meet compliance needs. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, and applicable professional standards; provides Banner Medical Group customers with an excellent service experience. Operates in a fast‑paced healthcare environment, managing resources to exceed standards in customer service, financial management, and regulatory compliance. Minimum Qualifications Strong knowledge of business and/or healthcare, typically via a bachelor’s degree in business, healthcare administration or related field. Current licensed Registered Nurse. Five or more years of RN experience in health care or managed care‑related field. Proven record of leading meetings, presenting to groups, building consensus and implementing advanced business solutions. Thorough familiarity with workflow and process improvement in healthcare, plus prior project management experience. Strong oral, written and interpersonal communication skills; ability to function effectively in a team‑oriented, fast‑paced environment. Proficiency in personal software applications, including word processing, spreadsheets and presentations. Critical thinking, problem‑solving, effective communication and time‑management skills; ability to mentor and educate both clinical and non‑clinical teams toward a population health model. Sound clinical judgment and understanding of risk adjustment and managed care concepts. Preferred Qualifications Additional related education and/or experience preferred. EEO Statement EEO/Disabled/Veterans — Banner Health supports a drug‑free work environment. #J-18808-Ljbffr Banner Health Corporate