Better Health Group Medical Director

3 weeks ago

Pensacola FL, United States SimplyApply Full time

Position: Better Health Group is one of the leading national primary care platforms enabling providers to shift focus to value-based care. With a mission of Better Health, the Better Health Group umbrella includes the healthcare network brands Votion, VIPcare, and SaludVIP.

Through our provider-facing brand, Votion, we empower independent physicians to spend more time with their patients and less on other tasks, helping to achieve Better Health. We provide the tools, insights, and processes to enable our partners to focus on care while increasing earnings. Votion delivers 5-Star outcomes to more than 240,000 lives across 9 states for Medicare Advantage, Medicare ACOs, Medicaid, and Commercial Insurance.

Through our patient-facing brand, VIPcare, we achieve Better Health using a senior care model focused on prevention and maintenance. VIPcare has been serving Medicare Advantage communities for more than 16 years and currently operates across four states with plans for further expansion. Part of the VIPcare brand is the sister company, SaludVIP, which offers the same high-quality care and 5-star service to the growing Hispanic communities.

Together, Better Health Group s lines of services work to drive our mission and achieve Better Care, Better Outcomes, and Better Health.

We are currently recruiting for a Medical Director , who will support the Florida Market.

The ideal candidate will be based in one of our markets of operation.

Position Description

The Medical Director is a strategic role responsible for leading and overseeing the medical/clinical teams ensuring the delivery of high-quality healthcare services and driving the strategic direction of Better Health Group. The incumbent will report to the Chief Executive Officer (Markets) or Market President (or similar role) and will be responsible for identifying and correcting actions of variance PCPs to improve their clinical and cost performance.

Responsibilities

  • Provide strategic direction and leadership to the medical team, ensuring alignment with the organization’s goals and objectives
  • Develop and implement policies and procedures to enhance the quality of patient care and improve overall operational efficiency
  • Collaborate with other department heads to develop and execute strategic initiatives that drive the organization’s growth and success
  • Support and lead integration/ change initiatives with acquisitions as they evolve from Fee for Service to Value-Based Care Model
  • Oversee and provide guidance to the medical staff, including physicians, nurses, and other healthcare professionals, ensuring compliance with medical standards and protocols
  • Monitor and evaluate the quality of patient care, identifying areas for improvement and implementing corrective actions as necessary
  • Stay updated with the latest advancements in medical practices and technologies, and ensure their integration into the organization’s clinical operations
  • Ensure the delivery of compassionate, evidence-based, and patient-centered care to all patients
  • Collaborate with the medical team to develop and implement care plans that meet the individual needs of patients
  • Address patient concerns and complaints, and work towards resolving any issues related to the quality of care
  • Ensure compliance with all applicable healthcare regulations, standards, and guidelines
  • Stay informed about changes in healthcare laws and regulations, and implement necessary changes to maintain compliance
  • Collaborate with the legal and compliance teams to address any legal or regulatory issues that may arise
  • Recruit, train, and mentor medical staff, fostering a culture of continuous learning and professional development
  • Conduct performance evaluations and provide feedback to the medical team, recognizing and rewarding exceptional performance
  • Foster a collaborative and inclusive work environment that promotes teamwork and effective communication
  • Additional duties as assigned

Position Requirements/ Skills:

  • Medical Degree from an accredited institution
  • Board Certified in a specialty recognized by the American Board of Specialties (ABMS)
  • 10 years (can be combined) of clinical and managed care experience
  • Experience in Utilization Management and Physician Improvement Programs
  • Experience in Medicare Advantage
  • Experience in leadership roles and project management
  • Experience working with high-performing teams and leading organizational change efforts
  • Experience and expertise in medical cost-reduction activities
  • Understanding of medical analytics and reporting
  • Working knowledge of medical policy and application of criteria
  • Ability to manage multiple priorities in an expedient and decisive manner
  • Ability to manage difficult peer-to-peer situations arising from medical care reviews
  • Proficient with Google Suite (Drive, Docs, Sheets, Slides) and Microsoft Office (Word, Excel, PowerPoint) for real-time collaboration

Key Attributes/ Skills:

  • Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles
  • An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments
  • Is able to work within our Better Health environment by facing tasks and challenges with energy and passion
  • Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals
  • Demonstrated ability to handle data with confidentiality
  • Ability to work cross-functionally with multiple teams; ability to work independently with minimal supervision
  • Excellent organizational, time-management, and multi-tasking skills with strong attention to detail
  • Excellent written and verbal communication skills; must be comfortable communicating with senior-level leadership, providers, and health plans
  • Strong interpersonal and presentation skills
  • Strong critical thinking and problem-solving skills
  • Must be results-oriented with a focus on quality execution and delivery
  • Appreciation of cultural diversity and sensitivity toward target patient populations

Physical Requirements:

  • Requires standing, walking, pushing, bending, kneeling, and reaching
  • Ability to sit for extended periods of time
  • Requires corrected vision and hearing to normal range
  • Ability to operate a motor vehicle and have own means of transportation

Experience in a Medicare Advantage or an accountable care environment is a plus but not required.

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