Health Outcomes - Equity Sr. Manager

Overview

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

The mission of Aetna Better Health of LA (ABHLA) is to build a healthier work through better health, better care, and lower costs. We have embraced the quintuple aim as our guiding framework that integrates population health, equity, cost reduction, patient experience, and care team wellbeing into everything we do. We are leading the change by challenging the status quo with new technologies, VPB models, innovation, and integration of behavioral and physical health;

and attracting and inspiring our local team by unlocking the power of our people to transform health care.

This is a full-time remote worker opportunity in Louisiana
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The Health Outcomes/Equity (HE) Administrator shall serve as the single point of contact responsible and accountable for all matters related to health outcomes and equity within the ABHLA and the provider network to support the effectiveness and efforts of the Health Equity Plan. This position will also be responsible for Health Outcomes accreditation, Health Equity Task Force, Cultural and Appropriate Linguistic Committee, Provider HE education, Staff HE training, annual health equity strategy and annual health equity strategy evaluation, partnerships with community/CBOs, state, SDoH team/social impact and maintaining status of accreditation.

Some in-state travel is anticipated for state, in-person office, and community partner meetings.

• Oversees the strategic design, implementation, and evaluation of health outcomes equity efforts in the context of the health plan’s population health initiatives.
• Responsible for staff health equity training, annual health equity strategy, and annual health equity strategy evaluation.
• Responsible for annual program description, health equity assessment of population, and QMOC reporting of health equity.
• Informs decision-making around best payer practices related to disparity reductions, including the provision of health equity and social determinant of health resources and research to leadership and programmatic areas;
• Informs decision-making regarding best payer practices related to disparity reductions, including providing health plan teams with relevant and applicable resources and research and ensuring that the perspectives of Enrollees with disparate outcomes are incorporated into the tailoring of intervention strategies;
• Collaborates with the informatics and other leaders to ensure the Contractor collects and meaningfully uses race, ethnicity, language, disability and geographic data to identify disparities; and works closely with ABHLA Director of Quality Management on health equity initiatives and projects.
• Coordinates and collaborates with Enrollees, providers, local and state government, community-based organizations, LDH, and other LDH contracted managed care entities to impact health disparities at a population level; and
• Ensures that efforts addressed at improving health equity, reducing disparities, and improving cultural competence are designed collaboratively and that lessons learned are incorporated into future decision-making.
• Sets the direction of the strategic business plan and translates into vision for staff/others.
• As a business leader, influences all stake holders to support key projects/programs to ensure positive outcomes that deliver on results.
• Drives change in order to improve performance results, organization effectiveness and/or systems/quality/services (e.g., policies, processes or systems).
• Identifies gaps in processes or organization and challenges self and others to develop and implement solutions.
• Ensures accurate prioritization of key projects/programs within purview.

• 8+ years managed care / health insurance industry…