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Regional Medical Director-East Coast
4 months ago
Position/Title: Medical Director, Board Certified Physician-East Coast
Reporting Line: Chief Medical Officer
Location: Remote opportunity with 25% travel required. (Virginia Medical License required).
Status: Full-Time, Exempt
About MedZed:
MedZed is the medical office of the twenty-first century, delivering care into the homes of patients with complex medical and social needs. Our multi-channel engagement approach is consistently reaching at or above 50% of members that cannot or have not been engaged through standard outreach campaigns. We utilize community health navigators, social workers and nurses in-the-home linked to MedZed primary care providers, over an intelligent member-centric telehealth platform, to deliver longitudinal team-based care that addresses social needs and health disparities while effectively managing patient outcomes. Our care model is scalable and customizable to individual client and patient needs. MedZed's house call model has demonstrated excellent outcomes with high patient satisfaction.
Our members slip through the cracks of the traditional delivery system. They don't regularly go to the doctor, whether due to lack of transportation, lack of trust, or language and cultural barriers. They may have access to some social services, but those are fragmented and not integrated with their medical needs. Now, more than ever, we need to provide care for them, delivered to their home. These members are often hard to find and while health plans spend substantial resources on these members, outreach efforts typically fall short.
MedZed offers an end-to end solution designed specifically for high need populations and partners with managed Medicare and Medicaid Entities.
Serving members in seven states with a team of more than 400 people and growing, MedZed has completed over 250,000 in-home visits and continues to expand throughout the country. Join the team and become part of our story.
Position Summary:
The Regional Medical Director and Board-Certified Physician will oversee and lead the day-to-day operations of clinical programs and clinical staff within their region. The Regional Medical Director will divide focus between leadership and management activities as well as longitudinal patient care. The Regional Medical Director is responsible for developing and implementing goals and objectives to support quality and population health outcomes, enhance patient experience, improve operational efficiency, address risk management, standardize routine care processes, while satisfying unique customer-related objectives. In the pursuit of these outcomes, this role will build and maintain positive working relationships across clinical, operational, financial and technology leaders, recognizing that MedZed's success derives from an integrated, non-siloed approach to care.
Scope of Responsibilities:
- Provides leadership of clinical activities and associated clinical team members to ensure delivery of high-quality care. This includes hiring, training, mentoring, and managing providers in our longitudinal primary care model focused on vulnerable populations and caring for people with chronic conditions.
- Always demonstrate and utilize the highest standards of medical ethics.
- Responsible for designing, implementing, and evaluating the quality of care for all patients and maintaining documentation of clinical procedures and protocols.
- Achieve clinical operational excellence both in direct clinical work with patients and the development and management of programs.
- Participate in Quality Assurance (QA) and Continuous Quality Improvement (CQI) activities, including regulatory compliance, safety, risk management and population health outcomes via regularly scheduled meetings, clinical audits, and peer reviews to ensure ongoing innovation of the MedZed model to produce higher quality, more efficient care.
- Along with the Regional Vice President, monitor Key Performance Indicators with consistent and timely responses and appropriate escalation.
- Translate strategy into actionable goals that are embedded in performance assessments and personnel management decisions.
- Knowledge of the rules, regulations and procedures of CMS and other payors within assigned region.
- Collaboration with operational, financial, business development, and technology leaders to create and maintain clinical programs that meet quality, efficiency, population health and financial objectives.
Scope of Work:
- Provide comprehensive, high quality medical services to patients by maintaining a moderate size panel to have active insight into the practice and establish clinical credibility with peers.
- Work cohesively as a healthcare medical team by assisting other providers in completing their responsibilities as necessary, i.e. covering provider time off, planned, and unplanned.
Direct Reports: Primary Care Providers, Social Workers, RN's
- Display the highest level of professionalism, integrity, and strong work ethic, serving as a role model for all clinical staff and the organization alike.
- Demonstrate proficiency in Electronic Health Records usability and workflow enhancements.
- Perform accurate, legible, and timely chart documentation following MedZed policies and federal and state payor guidelines.
- Maintain requirements of licensure, DEA certification and board certification. Fulfill and maintain requirements for credentialing and privileging with payors and regulatory bodies.
- Maintain patient confidentiality and comply with all federal and state health information privacy laws.
- Consider individuals' culture, psychological, social, and environmental factors when developing treatment/care plans.
- Serve as preceptor, subject matter expert for providers and clinical staff, including consultations, case presentations, chart review, on the job training and peer review.
- Take appropriate corrective actions to address matters pertaining to employee health and safety when brought to their attention.
- Perform other duties as assigned by the Chief Medical Officer.
Qualifications
Qualifications:
- Graduate of an accredited MD or DO program.
- Active medical license, in good standing in Virginia (additional states a plus).
- Board Certification in Family Medicine, Internal Medicine, Geriatric Medicine, or Hospice and Palliative Care Medicine, with continued clinical certification throughout career.
- Experience managing chronic disease patients on a longitudinal basis with expertise in vulnerable populations, health equity, team-based care and managing to outcomes.
- Five (5) plus years of leadership experience in a large provider group practice, physician practice management organization, hospital/hospital system or MCO.
- Experience operating in Medicare or Medicaid programs, managing across multiple markets, and contracting through shared savings or full risk payment models.
- Experienced in change management with clinicians through quality improvement and patient satisfaction interventions.
- Knowledge of clinical documentation and medical coding policies and procedures.
- Excellent communication and written skills. Must be detail oriented and able to multitask effectively.
- Demonstrated experience of managing P&L's to support ability to meet financial objectives.
- Solid grasp of managed care, including utilization management, care/case management, network strategies and health plan culture and priorities.
- Understanding of healthcare regulatory issues including HIPAA.
- Ability to communicate analytical findings for both quality improvement and external reporting requirements.
- Working knowledge of Excel.
- Fluency in Spanish a plus.
