Area Medical Director
Company: Humana Inc
Location: Corpus Christi
Posted on: March 17, 2023
Job Description:
DescriptionThe Associate Medical Director serves as a
health-care professional and capable of handling a variety of
health-related problems. The Associate Medical Director requires a
solid understanding of how organization capabilities interrelate
across department(s).ResponsibilitiesThe Associate Medical Director
has similar job duties as a Physician, namely focusing on
outpatient medicine, continuity of care, health maintenance, and
disease prevention. The Associate Medical Director serves as a
health-care professional and capable of handling a variety of
health-related problems.The Associate Medical Director will spend
20% 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
Conviva Physician Group in media and press activitiesRequired
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 indicatorsAdditional 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#LI-229965953_JT1Scheduled Weekly Hours40
Keywords: Humana Inc, Corpus Christi , Area Medical Director, Healthcare , Corpus Christi, Texas
Didn't find what you're looking for? Search again!
Loading more jobs...