Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm)
The PPO Medical Director is a key member of the market leadership team who shares responsibility for employed and contracted clinic outcomes with other members of the team. The PPO Medical Director is responsible for improving the quality and efficiency of medical care in his/her clinics of responsibility.
Primary Responsibilities:
- Develops and maintains collegial relationships with contracted/employed physicians in order to support the business efforts of the organization
- Conducts and directs functional Patient Care Coordination (PCC)/PTG meetings
- Implements market initiatives and holds teams accountable for metrics/performance. Ensures processes and procedures are aligned with the business objectives
- Quality: Identifies, directs, and executes continuous quality improvement activities to achieve federal quality metrics as well as other quality initiatives/targets, to include but not limited to, primary care medical home and joint commission
- Risk adjustment: Understands and executes on risk adjustment initiatives
- Attends and actively engages in leadership meetings
- Market Operations is the dyad partner. Expected to work collaboratively with operations and matrix partners
- Mentors and coaches medical group providers as well as contracted providers as appropriate based on specific initiatives
- Works in matrix relationship with cost and care team as well as QRA/Care 360 and other market and matrix partners
- Performs all other related duties as assigned
- Expected to become competent in Tableau and other informatics/reports required to achieve market metrics/objectives
- Required to manage direct reports, complete all necessary HR evaluations, and other items related to managing direct reports
Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.