Chief Medical Director, Population Health

1 month ago

Orange, United States Alta Hospitals Full time

The CRC Chief Medical Director provides medical leadership and has responsibility for clinical management oversight activities of the CA CRC Dual Risk Members. Responsibilities include facilitation of evidence-based and cost-effective chronic care, social and institutional services to our dual risk membership through oversight of day-to-day operations as well as mentoring and assisting in training of clinical and non-clinical leaders to ensure compliance with legal and managed care requirements. Medical Director works to support performance improvement, improve quality of medical care and the physician and patient experience - including, but not limited to oversight of peer review and risk management. Engages physicians to promote relationships and alignment with organizational goals. Prospect Medical Holdings' ability to deliver quality, compassionate care during the unprecedented pandemic affirms the original vision of its founders. This is the fulfillment of the hopes Prospect’s founders had for the company, and proof that a clear vision, an insightful operating model, and a commitment to communities and our employees, born in the past, remains the way of the future. Every day, our more than 11,000 affiliated physicians and 18,000 employees at 17 hospitals, 165 outpatient centers and 28 medical groups provide nationally recognized care in six states. Our comprehensive network of quality healthcare services is designed to offer our patients and 600,000 members highly coordinated, personalized care tailored to the unique needs of each community we serve—many of which provide essential medical services to underserved communities as safety-net hospitals. The compensation of the successful applicant will be determined at the time of the offer. In determining the compensation offered to an applicant, the Hiring Manager considers many factors including but not limited to, the candidate’s relevant work experience, education, certifications and licensure, internal peer equity, local market, as well as organizational considerations. Strategic: Collaborates with Chief Medical Officer (CMO) and Senior Leadership to develop and implement strategic plans to achieve the company mission and vision. Collaborate with director of clinical pharmacy services to improve utilization of most clinically and cost effective medications including infusions, injections and generics. Responsible for planning and development of strategies to reduce inappropriate emergency department and urgent care utilization. Collaborates with team members in the development, implementation, management, monitoring and evaluation of the effectiveness of chronic disease programs. Collaborates with team members in the development, implementation, management, monitoring and evaluation of the effectiveness of programs to achieve preventative care targets. Coordinates with the Medical Director of Performance Improvement in the development, collation and reporting of quality metrics such as P4P, 5-Star and ACO quality measures and performance standards. Collaborates with contracting, medical management and leadership on incentives, metrics, clinical programs and training that will improve the quality of care provided to our members along with decreasing costs. Assists in management and implementation of system initiatives. Provides leadership through participation in or oversight of appropriate committees, teams and boards. Identifies, trains, evaluates and develops physician leaders and both clinical and non-clinical staff. Collaborates with Information Technology on all clinical systems. Collaborates with the Practice Transformation Team to develop and implement strategies that impact patient, provider and staff experiences. Operations: Oversees the clinical decision making and leads the Utilization Management/Case Management/Disease Management programs with a focus on adherence to best practices and value-based care utilizing software or other systems for disease management, risk stratification, and predictive modeling. Oversees (Assistant) Medical Director(s) responsible for inpatient services with attention to average daily census and length of stay in contracted and non-contracted hospital facilities, Long-Term Acute Care (LTAC) facilities, Sub-Acute facilities, Skilled Nursing Facilities and Rehabilitation facilities Oversees elective surgery costs, volume and facilities. Oversees medical specialty utilization and costs. Oversees patient steerage to preferred facilities. Monitors the performance of network physicians with regard to the cost, clinical appropriateness and volume of authorizations. Director shall meet with network physicians and especially outlier physicians as necessary to present such data and ensure compliance with goals and targets. Oversees the management of tertiary care referrals and utilization. Analyzes clinical and financial data to develop and refine management activities, investigate and define sources of variation, and ensure conformance with standards and criteria. Collaborates with Business Intelligence to monitor medical and surgical utilization patterns and costs. Directs the high-risk patient care team in their management of complex or high-cost members and implement processes to improve end-of-life care as well as appropriate utilization of hospice and palliative care services. Promotes system-wide efforts to improve the quality of care to all patients through physician education, relationships, and implementation of organizational structures (like the patient-centered-medical-home and incorporation of specialty clinics). Leads efforts to increase overall quality through participation in peer review, credentialing, QI department and grievances/appeals and monitor HCC coding initiatives and implementation of best practices, (patient experience/satisfaction, service culture and quality metrics. Assists in managing and developing an effective network through hiring, firing, disciplining, compensating, incentivizing, contracting, mentoring, relationship-building and educating IPA physicians. This includes Pod development as well as managing relationships with health plans and hospitals. Works with Health Plans and collaborates with other medical groups to identify best practices. Experience: Successful clinical practice experience. 5 years Medical Leadership position such as assistant/associate medical director. Oversight responsibility (i.e. participation in Board of Directors/Chief of Staff). Board Certified Medical Doctor in the State of California. Knowledge: Familiarity with provider management principles. Demonstrated ability for team building. Familiarity with data analysis and statistical evaluation. Excellent ability to effectively communicate Company Vision and Goals.

  • Chief Medical Director, Population Health

    1 month ago

    Orange, United States Prospect Medical Holdings Full time

    Job DescriptionThe CRC Chief Medical Director provides medical leadership and has responsibility for clinical management oversight activities of the CA CRC Dual Risk Members. Responsibilities include facilitation of evidence-based and cost-effective chronic care, social and institutional services to our dual risk membership through oversight of day-to-day...

  • Chief Medical Director, Population Health

    3 weeks ago

    Orange, United States Prospect Medical Holdings Full time

    Job Description The CRC Chief Medical Director provides medical leadership and has responsibility for clinical management oversight activities of the CA CRC Dual Risk Members. Responsibilities include facilitation of evidence-based and cost-effective chronic care, social and institutional services to our dual risk membership through oversight of day-to-day...

  • Chief of Urology

    6 months ago

    East Orange, United States Veterans Affairs, Veterans Health Administration Full time

    Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to...

  • Director of Infection Prevention and Control

    4 weeks ago

    Orange, California, United States CHOC - Children's Health Orange County Full time

    Job SummaryThe Director of Infection Prevention and Control is responsible for leading and managing the infection prevention and control program across the pediatric health system.This role involves developing and implementing strategies to prevent and control infections, ensuring compliance with regulatory standards, and promoting a culture of safety and...

  • Nuclear Medicine, Section Chief

    1 month ago

    East Orange, United States East Orange, NJ and Lyons, NJ Veterans Affairs Medical Centers Full time

    The NJ VA Healthcare System is seeking a Physician, Section Chief, Nuclear Medicine and Imaging  to join our leadership team at the East Orange, NJ campus. Will primarily serve as a Nuclear Radiology Section Chief in the Imaging Service, performing all radiopharmaceutical therapies and interpreting a wide range of nuclear medicine and general diagnostic...

  • Medical Director

    3 weeks ago

    Orange, United States CARENATIONAL HEALTHCARE SERVICES, LLC Full time

    MEDICAL DIRECTOR - OUTPATIENTORANGE, CA – REMOTE (MUST LIVE IN SOUTHERN CALIFORNIA)The Medical Director of Outpatient Care provides medical leadership and has responsibility for Health-care-related management. Responsibilities include facilitation of evidence-based and cost-effective professional and institutional services to our membership through...

  • Medical Director

    3 weeks ago

    Orange, United States CARENATIONAL HEALTHCARE SERVICES, LLC Full time

    MEDICAL DIRECTOR INPATIENT (NON-CLINICAL)ORANGE, CA – REMOTE (MUST LIVE IN SOUTHERN CALIFORNIA)JOB SUMMARYThe Medical Director of Inpatient Care provides medical leadership and has responsibility for Health-care-related management. ?Responsibilities include facilitation of evidence-based and cost-effective professional and institutional services to our...

  • Chief Financial Officer

    4 weeks ago

    Orange, California, United States Marina Co Full time

    Job Description:Marina Co is seeking a highly skilled Chief Financial Officer to join our team. As a key member of our executive management team, you will be responsible for leading our financial strategy and operations.Key Responsibilities:Financial Planning and Analysis: Develop and implement financial plans and strategies to drive business growth and...

  • Pediatric Infectious Disease Division Chief

    4 weeks ago

    Orange, California, United States CHOC Children's Specialists Full time

    Division Chief Opportunity at CHOC Children's SpecialistsCHOC Children's Specialists is a leading pediatric subspecialty group seeking an exceptional Division Chief to lead our Infectious Disease division. As a premier pediatric healthcare institution, we are committed to providing compassionate, innovative, and comprehensive care to children and adolescents...

  • Population Management Support Coordinator

    2 weeks ago

    Orange, United States Kaiser Permanente Full time

    div> Job Summary: Identify, track and contact patients for the purpose of achieving out reach program goals and achievements associated with improving the quality of care. Maintain records, statistics and data bases associated with local, regional program goals and regulatory requirements. Under the direction of and in collaboration with other healthcare...

  • Division Director for Gynecologic Oncology

    4 weeks ago

    Orange, California, United States University Of California Irvine Full time

    Job SummaryThe University of California, Irvine invites applications for a faculty position at the Associate or Full Professor level in the Health Sciences Clinical Professor Series to serve as the Division Director for the Division of Gynecologic Oncology.This division is internationally recognized for its research and clinical expertise and maintains one...

  • Nuclear Medicine Section Chief

    4 weeks ago

    East Orange, New Jersey, United States Department of Veteran Affairs Full time

    The Department of Veteran Affairs is seeking a Physician to serve as a Nuclear Medicine Section Chief in the Imaging Service. The ideal candidate will have experience in leading a team and working with complex veteran patient populations.Key Responsibilities:Supervise the nuclear imaging laboratory and establish imaging procedural protocolsPerform routine...

  • Infectious Disease

    1 month ago

    Orange, United States CHOC Children's Specialists Full time

    CHOC Specialists is a private pediatric subspecialty group with 26 pediatric subspecialties. The group practices at Children's Hospital of Orange County (CHOC) which is a premier healthcare system based in Orange County, Calif. CHOC is exclusively committed to the health and well-being of children through clinical expertise, advocacy, outreach and research...

  • Regional Chief Financial Officer

    2 weeks ago

    Orange, United States TriMark USA Full time

    Regional Chief Financial OfficerOrange County, CA, USA * San Diego, CA, USAReq #2303Thursday, October 17, 2024TriMark USA is the country's largest provider of design services, equipment, and supplies to the foodservice industry. We proudly serve our customers by providing design services, commercial equipment, and foodservice supplies across a wide range of...

  • Women's Health Department Director

    13 hours ago

    Orange, California, United States Tal Healthcare Full time

    About Tal Healthcare: As a community-based health center, we provide primary and specialty care with a commitment to offering affordable and comprehensive medical services to underserved patients.Salary Information: The estimated annual salary for this position is approximately $200,000 to $250,000, based on qualifications, experience, and education.Job...

  • Nuclear Medicine, Section Chief

    4 weeks ago

    East Orange, United States Department of Veteran Affairs Full time

    The NJ VA Healthcare System is seeking a Physician, Section Chief, Nuclear Medicine and Imaging to join our leadership team at the East Orange, NJ campus. Will primarily serve as a Nuclear Radiology Section Chief in the Imaging Service, performing all radiopharmaceutical therapies and interpreting a wide range of nuclear medicine and general diagnostic...

  • Population Management Support Coordinator UHW

    2 weeks ago

    Orange, United States Kaiser Permanente Full time

    Job Summary: Identify, track and contact patients for the purpose of achieving out reach program goals and achievements associated with improving the quality of care. Maintain records, statistics and data bases associated with local, regional program goals and regulatory requirements. Under the direction of and in collaboration with other healthcare...

  • Chief Quality Officer, VP

    1 month ago

    Orange, California, United States College of Charleston Full time

    Job Title: Chief Quality Officer, VPJob Summary:We are seeking a highly experienced and skilled Chief Quality Officer, VP to lead our quality and safety initiatives. The successful candidate will have a strong background in healthcare quality and safety, with a proven track record of improving patient outcomes and reducing medical errors.Key...

  • Chief of Urology

    4 weeks ago

    East Orange, New Jersey, United States Veterans Affairs, Veterans Health Administration Full time

    Job SummaryThis position is responsible for leading the Urology service at the Veterans Affairs, Veterans Health Administration. The Chief of Urology will oversee all aspects of the service, including clinical, administrative, academic, and research components. The ideal candidate will have strong leadership skills and experience in urology....

  • Pediatrician - Underserved population in New Jersey (Copy)

    1 month ago

    East Orange, United States Happy Day Health Full time

    Pediatrician in New Jersey Are you passionate about improving the health of kids in an underserved population? We would love to work with your goals to make this the perfect place for you to practice. This position is for 4-5 days a week. We are a physician-owned private practice and value your autonomy to practice medicine in a way that's best for both you...