Hybrid Medical Director – Primary Care Physician

at Community Care of North Carolina

• Job title: Medical Director – Primary Care Physician
• Job type: Full Time
• Experience level: Lead
• Salary: Not specified
• Degree requirement: No Education Requirement
• Location requirements: Hybrid, Multiple Counties, United States

About the role

• Medical Director leading clinical operations and ensuring quality patient care within a value-based care model. Collaborating with senior leadership and chairing the Physician Advisory Board.

Responsibilities

• Lead and oversee healthcare organization’s clinical operations and ensure delivery of high-quality patient care within the Company’s value-based care model ACO programs.
• Chair the Physician Advisory Board and work with management in recommending medical policies and patient care policies.
• Serve as a member of the senior leadership team ensuring clinical operations align with strategic goals and business objectives.
• Provide clinical leadership and oversight to ensure the delivery of excellent clinical services.
• Manage direct medical care for a specified patient population within a primary care / family medicine environment.
• Develop and amend medical policies and ensure adherence to regulatory compliance protocols.
• Provide oversight of quality of care initiatives under a value-based reimbursement model.
• Manage quality metrics and work closely with the Quality Director and department.
• Participate in health promotion, education, and/or prevention programs.

Requirements

• Federal DEA Certification
• Medical Specialty License or Certification
• Board certified or Board Eligible in Specified Area of Medical Specialty
• Medical Doctor (physician) with 5 to 7 years of directly related experience within primary care, internal medicine, or family practice clinical environment.
• Experience working within an ACO value-based reimbursement / shared savings environment.
• Understanding of ACO quality initiatives and having quality management experience would be a significant plus.
• Ability to observe, assess, and record symptoms, reactions, and progress.
• Knowledge and understanding of value-based reimbursement programs including quality gap initiatives.
• Knowledge of legal and ethical standards for the delivery of medical care.
• Knowledge of relevant drugs and non-pharmaceutical patient care aids and ability to prescribe dosages and instruct patients in correct usage.
• Ability to maintain quality, safety, and/or infection control standards.
• Knowledge of community medical diagnostic and patient care services in area of medical expertise.
• Knowledge of related accreditation and certification requirements.
• Knowledge of current principles, methods, and procedures for the delivery of medical evaluation, diagnosis, and treatment in area of expertise.
• Ability to work both independently and in a team environment.
• Effective verbal and written communication skills.
• Ability to supervise, advise, and train clinical professionals and/or students in area of expertise.
• A solid understanding of EMR systems as well as updated E&M documentation requirements.
• Ability to develop and present educational programs and/or workshops.
• Knowledge of clinical financial performance KPI (Key Performance Indicators).

Benefits

• Provide clinical leadership and oversight to ensure the delivery of excellent clinical services.
• Utilize specialized knowledge to guide and support the clinical team in providing comprehensive care with special attention to Quality metrics, value based care and working closely with the Quality Director and department.
• Ensure effective education and communication of all policies and procedures to current and new providers.
• Attend monthly Compliance Committee meetings, lead Physician Advisory Board, monthly review of provider charts, ensure operational/clinical protocols align with financial and compliance guidelines.
• Provide leadership that aids in the growth and development of certain assigned clinic(s).
• Ensure strong patient satisfaction reviews.