Program Manager Population Health: Clinic Quality Improvement

Newport Beach, CA, United States and 1 more

The Program Manager for Population Health is responsible for leading, coordinating, and optimizing value‑based care initiatives that improve quality outcomes across Hoag Clinic. This role requires a deep clinical understanding of ambulatory workflows, care management processes, and operational practices to effectively partner with providers, medical assistants, nurses, and operational leaders. The ideal candidate possesses strong expertise in HEDIS measures, CMS value‑based programs, and quality performance methodologies, with the ability to translate complex regulatory requirements into actionable strategies.

The Program Manager will oversee teams responsible for obtaining medical records from operations to support gap‑closure efforts and ensure accurate quality reporting. They will also collaborate closely with operational leaders to identify and strategize around the tools, education, and resources needed for program success, driving adoption and continuous improvement. Success in this role requires exceptional attention to detail, strong analytical and communication skills, and the ability to lead cross‑functional collaboration in a fast‑paced, outcomes‑driven environment.

Some critical skills for the role:

• Strong clinical understanding of in-clinic workflows, care coordination processes, and clinic operations
• Demonstrated experience working with HEDIS measures, CMS value‑based programs, and quality performance improvement
• Proven ability to interpret regulatory and payer requirements and translate them into actionable operational strategies
• Experience leading or overseeing teams responsible for medical record retrieval, documentation validation, or gap‑closure support
• Ability to collaborate with operational leaders to assess needs and implement effective tools, workflows, education, and resources
• Ability to monitor performance dashboards, identify trends, and drive data‑informed decision‑making
• Exceptional attention to detail and organizational skills, with the ability to manage multiple high‑priority initiatives simultaneously
• Excellent communication and relationship‑building skills across clinical, operational, and administrative teams
• Experience driving cross‑functional initiatives in a fast‑paced, outcomes‑oriented environment
• Proficiency with population health platforms, EMRs, and quality reporting tools (e.g., Epic, hea lth plan portals, risk & quality

Education and Experience
Required:

• 3 to 5 years of experience with application support of physician practice systems
• Bachelor of Science degree in Computer Science, Business, Healthcare or related field or equivalent years of work experience

• Certificaiton(s) in Epic Ambulatory modules
• Database administrator experience
• Experience with CMS, HEDIS, Population Health and Quality Improvement programs

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Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.

For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.

Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.

Hoag was the highest ranked hospital in Orange County…