Manager, Chronic Disease & Population Health

Job summary

Lead the planning, development, implementation, and evaluation of chronic disease services and community-based programs using a population health approach. Manage interdisciplinary teams, performance and quality measures, clinical and operational risks, reporting, and partnerships while contributing to organizational strategy and integrated care.

Job details

Role: Manager, Chronic Disease & Population Health FTE/Status: 1.0FTE (Full-Time, Permanent) Reports to: Director, Operations & Performance About Us The Guelph Family Health Team is a not-for-profit, interdisciplinary primary care organization providing comprehensive, team-based care to the community of Guelph and surrounding areas. Our team works collaboratively to improve patient access, health outcomes, and system sustainability through innovative and integrated primary care services. Position Summary The Manager, Chronic Disease & Population Health provides operational leadership for chronic disease services and community-based programming at Guelph FHT. Using a population health lens, this role leads service planning, program development, and implementation. The Manager identifies emerging community needs, advances health promotion, prevention, and early intervention strategies, builds partnerships that support integrated, patient-centered care, and provides leadership to interdisciplinary teams. Key Responsibilities Provide operational leadership for chronic disease services and community programming, aligned with organizational priorities, community needs, and evidence-informed practice. Lead population health planning, community needs assessments, service development, program implementation, and initiatives that improve access, patient experience, and health outcomes. Identify emerging trends, service gaps, and opportunities for innovation, prevention, and early intervention. Lead performance management processes and support staff development through regular coaching, goal setting, feedback, and identification of growth opportunities. Establish and monitor performance indicators, targets, and quality measures, and use data and evaluation findings to guide decisions, resource allocation, and service planning. Participate in quality improvement and change initiatives that strengthen care delivery, patient safety, integration, and sustainability. Oversee clinical and operational risk, patient safety practices, quality standards, privacy compliance, and related professional, ethical, and organizational requirements. Provide clinical oversight of medical directives, infection prevention and control, policies, procedures, and risk management activities. Ensure timely and accurate reporting to internal and external partners, including Ontario Health and other funding or accountability bodies. Support strategic partnerships with health care providers and community organizations Advance integrated care, health promotion, chronic disease prevention, early intervention, and community-based programming. Represent Guelph FHT in community and collaborative partnerships. Contribute to organizational planning, strategic decision-making, Annual Operating Plan activities, and management team initiatives. Qualifications: Undergraduate degree in a regulated health profession, health sciences, public health, health administration, or a related field; a Master’s degree is considered an asset. Registration in good standing with a relevant regulatory body, where applicable. Minimum five (5) years of clinical experience and five (5) years of progressive management experience in a health care environment. Demonstrated experience in population health planning, program development and evaluation, quality improvement, community engagement, and change leadership. Proven leadership in workforce planning, recruitment, performance management, and staff development. Experience developing and maintaining strategic partnerships across health care, community, and health system organizations. Strong knowledge of health care legislation, privacy requirements, clinical governance, and evidence-informed practice. Excellent leadership, communication, stakeholder engagement, and relationship-building skills. Guelph FHT is committed to diversity, equity, and inclusion and welcomes all qualified applicants to apply to join our team. We accommodate people with disabilities throughout the recruitment and selection process; please advise Human Resources in advance if accommodation is required. Interested applicants can email human.resources@guelphfht.com with a cover letter and resume by October 9, 2026. We thank all applicants for their interest and will contact only applicants selected for an interview.

What you’ll do

Lead the planning, development, implementation, and evaluation of chronic disease services and community-based programs using a population health approach. Manage interdisciplinary teams, performance and quality measures, clinical and operational risks, reporting, and partnerships while contributing to organizational strategy and integrated care.

Requirements

Requires an undergraduate degree in a relevant health or related field and, where applicable, registration in good standing with a relevant regulatory body; a master's degree is an asset. Candidates need at least five years of clinical experience and five years of progressive healthcare management experience, along with demonstrated expertise in population health, program development and evaluation, quality improvement, community engagement, and change leadership.

Listed skills

• Quality Improvement · Preferred
• Risk Management · Preferred
• Staff Development · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Population Health Planning
• Chronic Disease Management
• Program Development
• Program Evaluation
• Quality Improvement
• Community Engagement
• Change Leadership
• Performance Management
• Workforce Planning
• Staff Development
• Strategic Partnerships
• Clinical Governance
• Risk Management
• Patient Safety
• Health Promotion
• Stakeholder Engagement

Job areas

• Healthcare
• Management & Leadership
• Social Services

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