About Us:

Cityblock Health is the first tech-driven provider for communities with complex needs—bringing better care to where it’s needed most, block by block. Founded in 2017 on the premise that “health is local” and based in Brooklyn, we are backed by Alphabet’s Sidewalk Labs along with some of the top healthcare investors in the country.

Our mission is to improve the health of underserved communities. Importantly, our solutions are designed specifically for Medicaid and lower-income Medicare beneficiaries, and we meet our members where they are, bringing care into the home and neighborhoods through our community-based care teams and Virtual Care offerings.

In close collaboration with community-based organizations, local providers, and leading health plans, we are reorganizing the health system to focus on what matters to our members. Equipped with world-class, custom care delivery technology, we deliver personalized primary care, behavioral health, and social services to deliver a radically better experience of care for every member and community we serve.

Over the next year, we’ll grow quickly to bring better care to many more members and their communities. To do this, we need people who, like us, believe that everyone should have good care for what matters to them, in their community. 

Our work is grounded in a belief in the power of a diverse community. To close gaps in care and advance equity in the communities we serve, we have to start with making our own team diverse and inclusive. Our ways of working are characterized by creativity, collaboration, and mutual learning that comes from bringing together a community from diverse backgrounds and perspectives. We strive to ensure that every person on the Cityblock team, and every Cityblock member, feels supported and included as a part of our community.

Our Values:

• Aim for Understanding
• Be All In
• Bring Your Whole Self
• Lean Into Discomfort
• Put Members First

About the Role:

As the Director, Informatics and Analytics for Care Innovation and Program Design, you will design for EHR tools (note templates, order sets, risk scores, alerts etc), and interoperability issues (how to pull the right data into which places between platforms). You will work with data science teams to develop and apply into real workflows the right risk stratification and segmentation tools. You will work with the measurement team to define the performance plan for the analytics/measurement, and you will work with the operations excellence team downstream on reporting planning. 

In this role you will: 

• Report to the Chief Care Innovation and Program Design Officer.
• Adept at designing solutions around interoperability issues across multiple EHR and care management platforms.
• Work in full partnership with the Head of and Directors of Care Innovation and Program Design, meet regularly with the product excellence, product and platform leadership to ensure timely updates and escalation of barriers to progress. 
• Develop the approach to workflow design as they relate to EHR and other health IT pathways; SME to inform key considerations for solutions to address issues of interoperability, with effort divided across the 3 sprint teams to start.  
• Lead discovery work to develop designs for advanced analytics that meet specific needs (ex: phenotyping, ID/risk stratification) as defined in the clinical design.   
• Work with dedicated data science teams to analyze performance of models and recommended titrations to optimize clinical workflow (ex: RAF capture opportunity vis-a-vis optimized PPV).
• Own objectives and key results for advanced analytic design and prioritization process for clinical design team. 
• Analyze and make recommendations from a business and clinical standpoint regarding which platforms/solutions to use.
• Based on feedback from health IT, data science, and other relevant stakeholders, recommend adjustments to design for adjudication with Chief Care Innovation and Program Design officer in partnership with the Head of/Directors leading design sprints. 

Requirements for the Role:

• > 8 years of building and implementing EHR tools to effectively deliver chronic disease management and enable complete and accurate clinical documentation.
• Deep understanding of how to build opportunities and limitations within Epic including Epic healthy planet. 
• Direct experience building risk scores and tools to power care pathways for chronic disease management, transitions of care, and high value care pathways. 
• Experience with informatics and EHR design to support initiatives leveraging information related to sensitive categories of health including behavioral health, substance use disorder, and serious illness care.
• Experience with design of how analytics, including advanced analytics (ex: machine learning models) are developed and applied into successful clinical workflows that achieve the intended clinical outcome, as well as experience with measuring performance of the analytic tool itself.
• Crisp written and verbal communication skills with culture and attitude of helping others appreciate and understand data.

How We Define Success:

• As clinical leader, oversee the development of 3-5 risk stratification algorithms over 12 months
• As clinical leader, oversee the application of 3-5 risk stratification algorithms into clinical workflows, including building of EHR tools in 12 months
• Evaluate performance and create workflows for acquiring data to improve and retrain models
• With data science team, develop robust plan to assess and address potential bias in models
• Develop clinician and frontline staff content to educate and improve adoption of workflows

Nice to Have, But Not Required:

• Knowledge of Epic, including Healthy Planet, and/or Elation EHR platforms
• Are a clinician who has worked specifically with EHR tools to optimize provider workflows that improve accuracy of burden of illness capture, HEDIS, and drive clinical impact
• Ability to draw on clinical experience to inform thoughtful design that is patient centered and optimizes the clinician experience

What We’d Like From You:

• A resume and/or LinkedIn profile 
• A short cover letter, please!

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

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We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.