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 clinical program and people leadership for Guelph FHT's chronic disease services and community-based programs. The role is accountable for leading interdisciplinary teams and the delivery and ongoing development of clinical and community-based services, including workforce planning, staff performance and development, service quality, patient safety, clinical governance, access, outcomes, and continuous improvement. Working within an interdisciplinary primary care setting, the Manager uses a population health lens to identify community needs and service gaps, strengthen chronic disease prevention and management, and align programs and resources with patient and population needs.

The Manager works closely with clinical teams, organizational leaders, and community and health system partners to support high-quality, integrated, and sustainable care.

Key Responsibilities

- Provide clinical program and people leadership for interdisciplinary chronic disease and community-based teams and services, aligned with organizational priorities, community needs, and evidence-informed practice.
- Lead planning, development, implementation, and evaluation of chronic disease services and community-based programs to improve access, patient experience, and health outcomes.
- Use service data, evidence, and a population health lens to identify emerging needs, service gaps,



and opportunities for innovation, prevention, and early intervention.
- Lead workforce planning, recruitment, succession planning, performance management, and staff development, including regular coaching, goal setting, feedback, and development planning.
- Be accountable for service performance, access, outcomes, program evaluation, quality improvement, and reporting across the portfolio. Establish and monitor performance indicators, targets, and quality measures, and use findings to guide decisions, resource allocation, and service planning.
- Lead and support quality improvement and change initiatives, working collaboratively with clinical teams and organizational leaders to strengthen care delivery, patient safety, integration, and sustainability.
- Ensure clinical programs and services comply with applicable legislation, professional standards, organizational policies, privacy requirements, and regulatory obligations, with accountability for risk, patient safety, and quality standards.
- Provide oversight of clinical governance requirements, including medical directives, infection prevention and control practices, 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.
- Develop and maintain strategic partnerships with health care providers, community organizations, and health system partners to strengthen service delivery and community health outcomes.




- 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 [email protected] with a cover letter and resume by October 19, 2026. We thank all applicants for their interest and will contact only applicants selected for an interview.

📌 Manager, Chronic Disease & Population Health (Guelph)
🏢 Guelph Family Health Team
📍 Guelph