Medical Director Complex Care

1 month ago

Cincinnati, United States AbsoluteCare and Pharmacy Full time

AbsoluteCare is seeking a dynamic physician leader to put the principles of population health into action for our medically complex & socially vulnerable members. Oftentimes, due to the effects of trauma and poverty, a significant portion of our population suffer from infectious diseases - including HIV, Hepatitis C, and complex wound infections. Through our integrated care teams, including physicians, advanced practice practitioners, nurse care managers, social workers, behavioral health therapists, peer counselors, dietitians, pharmacists, and community outreach workers, we transform the lives of our members. 

Working within our matrix organization, the Medical Director will collaborate closely with the National Directors  of their respective disciplines to implement process improvements, enhance our standards of care, and surpass discipline specific professional practice guidelines in our ambulatory intensive caring unit care model.  As a dyad partner with the Practice Administrator, the Medical Director will be responsible for all the medical center outcomes including utilization, quality outcomes and the overall operation of the medical center and providers. This role is instrumental to our fast-growing organizations success, and requires a person who exhibits dynamism, humility, clinical acumen, the ability to work collaboratively, and strong leadership skills.

Specific Duties and Responsibilities

Clinical Leader of the Practice:

  • Lead the medical center to deliver superb medical care utilizing a comprehensive "one stop shop" in a NCQA certified Patient Centered Medical Home (PCMH) model, along with Complex Care Management.
  • Build relationships with and collaborate with health plan medical directors, local hospitals, specialists, and other organizations to help meet the outcomes and decrease the fragmentation of care.
  • Manage the team to track and meet contractual quality metric goals.
  • Use technology and the electronic medical record to the highest capability to increase quality initiatives and efficiency within the medical center.
  • Participate in multi-disciplinary meetings and recommend treatment alternatives designed to keep patients healthy or resolve on-going clinical issues.
  • Working in a dyad model with the Practice Administrator, manage the Medical Staff and other AbsoluteCare team members.
  • Collaborate with National Directors across the company  to implement process improvements, enhance our standards of care and surpass discipline specific professional practice guidelines in our ambulatory intensive caring unit care model.
  • Provide medical guidance to the Medical Staff, reviewing current medical practices and guidelines and implementing best evidence-based practices.
  • Implement strategic medical operations and protocols to achieve company's contracted goals.
  • Evaluate the current medical operations and operations of the entire medical center to ensure compliance and contractual obligations.
  • Constantly improve the quality of care and outcomes for AbsoluteCare patients.

Qualifications

The ideal candidate will be an excellent physician, a systems thinker, organized, a clear communicator, technologically savvy, excited to work in an interdisciplinary team, and most of all, mission driven to serve our medically complex and socially vulnerable patient population. A physician leader with the ability to thrive in uncertainty and ambiguity, work without ego, and thoughtfully build successful relationships with team members and our partners is necessary.  

  • Board certified in Internal Medicine or Family Medicine.
  • Licensed physician in the state of practice.
  • 4+ years of experience managing Medicare, Medicaid, and commercial populations.
  • ACLS certification.
  • Ability to treat the acutely ill in an outpatient setting offering hydration, IV antibiotics, wound care, and other services.
  • Knowledge of value-based provider programs, utilization management and HEDIS quality measures.
  • Long-term interest in AbsoluteCare.

Preferred Qualifications

  • Infectious Disease training (Board Certification) or AAHIVM certification strongly encouraged.
  • Advanced degrees (MBA, MPH, MS) or work experiences outside of medicine are a plus.

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