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ConcertoCare

Director of Population Outcomes

ConcertoCare

Director of Population Outcomes at ConcertoCare developing strategies to address utilization and high-cost medical expenses. Collaborating within the clinical leadership team to deliver proactive care.

Posted 6/12/2026full-timeRemote • California, Washington • 🇺🇸 United StatesLead💰 $155,000 - $170,000 per yearWebsite

About the role

Key responsibilities & impact
  • Reporting to ConcertoCare’s Vice President of Population Health
  • Develop and manage strategies to address utilization and high-cost medical expenses for the assigned market(s) population
  • Ensure key components of ConcertoCare’s Care Model are being used by providers to drive population impact
  • Support the mission, vision, and values of ConcertoCare in delivering individualized, proactive care to high-risk patients
  • Work in conjunction with the Population Outcomes Manager and collaborate with the Market Medical Director(s) and other Directors of Population Outcomes
  • Identify and analyze impactable utilization trends
  • Partner with interdisciplinary teams to identify and plan interventions
  • Prepare case summaries for interdisciplinary discussion
  • Perform Population Surveillance on assigned market(s) population
  • Utilize internal and external reporting tools to guide opportunities to reduce avoidable utilization
  • Design, implement, and manage projects in partnership with key leaders
  • Collaborate with actuarial and med economics team to identify trends in cost and utilization data
  • Compile data for use in Joint Operating Committee Meetings
  • Support customer success through leading meetings with payer case management teams and community resources/vendors
  • Manage and aggregate patient and MLR data, create presentations for internal and external partners
  • Lead market-level medical expense management activities and presentations

Requirements

What you’ll need
  • Graduation from an accredited nurse practitioner school
  • Master’s Degree required
  • Board Certified Nurse Practitioner with licenses in CA and/or WA or the ability to obtain immediate licensing
  • Active license in the worked-in-state, or the ability to obtain one
  • Five or more years of clinical experience, including at least 3 years in a value-based care environment with Medical Expense or Total Cost of Care -related experience
  • Geriatric care experience preferred
  • Knowledge of Medicare and Medicaid highly desired
  • Demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines
  • Team leadership experience, particularly with indirect authority or in matrixed organization
  • Ability to demonstrate systems level thinking and problem solving, while maintaining focus on the individual patient level of care as indicated
  • Demonstrated expertise in reporting, analyzing, and designing initiatives based on data analysis
  • Requires strong technological capacity, including advanced knowledge of Microsoft Office, including Excel, PowerPoint, and Word, familiarity with SharePoint, and frequently used mobile device applications
  • Demonstrated highly effective and professional verbal and written communication skills
  • Ability to work in fast paced, dynamic environment and work well with others on multiple teams in assigned market(s)

Benefits

Comp & perks
  • full healthcare coverage
  • 401K with match
  • a broad range of other health, wellness, and financial benefits

ATS Keywords

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Hard Skills & Tools
clinical experiencevalue-based caremedical expense managementdata analysispopulation surveillanceinterdisciplinary collaborationproject managementutilization trend analysisgeriatric care
Soft Skills
team leadershipproblem solvingcommunicationmultitaskingtime managementcollaborationadaptabilityattention to detailcritical thinking
Certifications
Board Certified Nurse PractitionerMaster’s Degreeactive nursing license in CA or WA