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Job Details

Area Medical Director - Houston Texas

Location
Houston, TX, United States

Posted on
Nov 28, 2022

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Description

AREA MEDICAL DIRECTOR

Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At CenterWell Senior Primary Care, we want to help people everywhere, including our associates, lead their best lives. At CenterWell, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.

The Area Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Area Medical Director requires a solid understanding of how organization capabilities interrelate across multiple clinics/centers.

Responsibilities

The Area Medical Director has similar job duties as a Physician, namely focusing on outpatient medicine, continuity of care, health maintenance, and disease prevention. The Area Medical Director is also responsible for administrative oversight and outcomes for clinical providers designated to their area. Keeps a medical history and medical records. Refers the patient to specialists as needed. Decisions are typically related to identifying and resolving complex technical and operational problems within clinics/centers.

The Area Medical Director will spend 30% of their time clinically focused on direct patient care, with the remaining time dedicated to administrative duties related to oversight of clinical provision of care in their area.


Requires a solid understanding of how organization capabilities interrelate across multiple clinics/centers.
Supervise/mange assigned clinicians designated to market.
Decisions are typically related to identifying and resolving complex technical and operational problems within clinics/centers.
Clinician's PTO management in collaboration with Center administrator, including holiday schedules and as determined by the organization.
Management of CME time and reimbursement requests.
Service recovery reports (Patient complaints).
Guidance to individual clinicians about patient terminations, in collaboration with compliance.
Manage behavioral concerns pertaining to assigned clinicians.
Provide support to on site clinicians with logjams and workflow issues.
Oversight of provider quality and development of workflows to help close gaps in quality.
Schedule at least one half day at clinic site for onsite visit per week.
Support clinicians with schedule templates, coverage, daily issues.
Assist with panel management.
Oversight of quality of assigned team members.
Meet with Regional CAs and other AMD at least monthly.
May be assigned to organizational committees as needed, to attend and represent the clinical perspective of the market.
Assist in Ongoing Chart Review monitoring.
Assist with recruitment and interviewing as requested.
In collaboration with RMD, complete performance reviews as required.
Participate as backup on call.
Assist in organizing team building activities.
Maintain regular clinic hours for a percentage of FTE as determined with Regional Medical Director, as detailed on the clinical job description.
Serve as a community representative for CenterWell in media and press activities


Required Qualifications


Doctor of Medicine or Osteopathic Medicine
Board Eligible or Board certified in Geriatric Medicine, Family Medicine or Internal Medicine
American Board of Physician Specialties (ABPS) is also recognized by our organization
Valid, unrestricted license in the state of desired employment
Experience leading clinical practice operations
Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients
Willingness and ability to learn/adapt to practice in a value-based care setting
Basic computer skills, including email and EMR
This role is considered patient facing and is part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB


Preferred Qualifications


Active and unrestricted DEA license
Medicare Provider Number
Medicaid Provider Number
Minimum of three to five years directly applicable experience preferred
Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment.
Knowledge of Medicare guidelines and coverage.
Knowledge of HEDIS quality indicators


Additional Information


Guaranteed base salary bonus
Excellent benefit package - health insurance effective on your first day of employment
CME Allowance/Time
Occurrence Malpractice Insurance
Relocation and sign-on bonus options (Only Keep as Needed)
401(k) with Employer Match
Life Insurance/Disability
Paid Time Off/Holidays
Minimal call


Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ****

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