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Senior Medical Director
1 month ago
MetroPlusHealth is committed to delivering exceptional healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics.
The Medical Director for the Partnership in Care Department will have direct responsibility for the MetroPlusHealth HIV Special Needs Plan (Partnership in Care Program) and the care management of all other MetroPlusHealth members living with HIV. This role will assure continued program development of the HIV Special Needs Plan by providing direct clinical support for all clinical activities, as well as support and interaction with the overall plan's Utilization Management, Quality Management, Finance, Member Services and Enrollment divisions.
About the RoleWe are seeking an experienced medical professional to lead our HIV Special Needs Plan and oversee the care management of members living with HIV. The ideal candidate will have a strong background in infectious diseases and experience in care management, quality improvement, and utilization management.
Key Responsibilities:- Develops and Articulates Strategic Direction: Develops and implements evidence-based strategies for ending the HIV epidemic and ensuring high-quality care to all members with HIV.
- Clinical Oversight: Directs oversight of the plan's HIV Special Needs Plan (Partnership in Care) and the care management of all other MetroPlusHealth members living with HIV.
- Quality Improvement: Develops, implements, and annual reviews the HIV SNP's comprehensive Quality Management/Quality Improvement Plan.
- Regulatory Compliance: Ensures compliance with Federal, State and City regulations as they relate to the HIV SNP and HIV Services.
- Program Oversight: Conducts program oversight and coordination of all aspects of the HIV Special Needs Plans with reporting quarterly to the Quality Assurance Committee of the Board of Directors.
- Patient-Centered Care: Promotes and facilitates a multidisciplinary approach to patient care and coordination of care among disciplines; ensures that patient care delivery models and standards of HIV services provision are consistent with current professional standards and with the mission, vision, and values of the organization.
- Customer Service: Provides excellent customer service at all times to internal and external customers.
- Budget Management: Develops and manages the budget for the Partnership in Care department. Directs the determination of fiscal requirements of assigned programs and reviews budgetary recommendations; monitors and controls the expenditure of budgeted funds.
- Interdepartmental Collaboration: Interacts with other departments responsible for functional aspects of the HIV Special Needs Plan including Quality Management, Utilization Management, Marketing, Eligibility, Customer Services and Finance.
- Regulatory Representation: Represents the health plan at regulatory committees including the New York State AIDS Institute SNP Quality Committees, and others that are scheduled.
- Provider Education: Reviews and assesses provider and facility utilization patterns and provides appropriate education and feedback to outliers and others that would benefit from plan input.
- A Doctor of Medicine or Doctor of Osteopathic Medicine degree from an accredited and approved school of medicine
- A minimum of three years clinical experience
- A minimum of two years administrative experience with supervision of staff
- Experience and knowledge in Care, Case, and Disease Management
This is a challenging and rewarding opportunity to make a meaningful impact on the lives of New Yorkers living with HIV. If you are passionate about delivering high-quality care and improving health outcomes, we encourage you to apply.
$120,000 - $150,000 per year, depending on experience and qualifications.
