MAJOR DUTIES: The primary purpose of this position is: The incumbent of this position is the healthcare interrogate (HCI) and is responsible for the planning, design, implementation and evaluation of population health and disease management programs based on the identified needs of the managed beneficiary population. Incumbent is responsible for collecting, reviewing, and interpreting population-based data to identify, recommend, and implement improvements as deemed appropriate to inflation health, improved clinical outcomes, reduce morbidity, and ensure that patients receive comprehensive, coordinated care cost-effective manner. the HCI interrogates the six critical SuccessFactors (CSF) for effective population health management. 1). Consults and collaborates with providers and other health professionals to coordinate and ensure consistent health teaching, counseling, guidance, and instruction to individuals and families participating in available disease management programs. The HCI interacts with the director of the Disease Management Programs and a variety of other administrative and professional staff to ensure comprehensive and appropriate coordination of care and services for the eligible beneficiary population served by the 59th Medical Operations Group. Consults with the Flight Commander, Squadron Administrator and communicates through the SGH of Medical Operation Group (MDOG). 2). Coordinates with the director of medical services (SGH) to promote the use of evidence-based clinical practice guidelines and pathways. Advocates case management for smooth delivery and continuity of care. Assists in research and development of evidence-based clinical practice guidelines (CPG) in collaboration with providers and other multidisciplinary team members to reduce variances and treatment and improve clinical outcomes in a cost-effective manner. 3). Reviews and evaluates population-based outcome measures, ADS utilization data reports, and patient self-reported health surveys to identify improvement opportunities impacting demand management, disease, and utilization management. Reviews and uses the population health improvement plan and HEDIS measures as an identification source and identifies initiatives to support improved outcomes. Provides population health data summary reports to clinical Primary Care Managers (PCM) for the purpose of identifying their assigned population who may be at high risk for adverse health conditions. 4). HCI has administrative responsibility and authority to serve as the focal point for population health, clinical preventive services, and disease/condition management activities and interventions. Provides special studies, consultations, and reports as requested by squadron, flight, and element leaders. Assists in developing, implementing, and delivering demand/disease/condition management training and program direction to clinical professional and non-professional staff. Develops presentation methods, materials, training aids, and applies professional educational expertise and technology to programs tailored to meet the requirements of the serviced population. 5). Complies and maintains statistical data and generates reports for primary care management (PCM) Teams, Medical Group executive management, Flight, HQ AETC/SG and HQ AFMOA/SGOP as appropriate. Prepares routine periodic reports for higher headquarters as required. Develops interdisciplinary program management through effective communication and collaboration with Squadrons, Medical Group, and Wing level organizations. Attends medical staff meetings and uses appropriate forums to establish and maintain effective working relationships with providers. Conducts ongoing research, interviews, and fact-gathering inquiries to yield accurate metric reports. Performs other duties as assigned.