Davita Inc.
Medical Director - Clinical Services
Davita Inc., Seattle, Washington, us, 98127
Career Opportunities: Medical Director - Clinical Services (24590)
Requisition ID
24590
- Posted
09/19/2024
-
CareOregon
-
Full Time - Permanent
-
Portland
-
Multi Location (2)
Position Title:
Medical Director - Clinical Services
Requisition #:
24590
Department:
Medical Management Administration
Title of Manager:
Sr Medical Director - Clinical Services
Supervises:
Non-Supervisory
Exemption Status:
Exempt
Pay and Benefits:
Estimated hiring range $283,150 - $346,000/year, 10% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits
Posting Notes:
This is a hybrid position that will include travel to the Portland office and intermittent travel to Tillamook, Clatsop, and Columbia counties.
Job SummaryThis position is responsible for leading a multidisciplinary, matrixed team in supporting both internal staff, as well as external network and other partners, in implementing effective care management, quality, and other clinical practice improvement initiatives as assigned, in support of the Quadruple Aim.
Essential Responsibilities
In partnership with the Senior Medical Director and/or other Medical Directors, develop, implement, and manage clinical programs to address member needs.
Implement, direct, and oversee utilization, case, disease, and/or quality management programs.
Develop and implement programs for supporting participating physicians in optimizing quality management and utilization management.
Represent the health plan in applicable activities including medical and other professional organizations; participate in activities that enhance CareOregon's image within the community.
Provide medical support for Care Management activities.
Provide oversight of benefit determinations and appeals for medical and pharmacy as assigned by Senior Medical Director or CMO.
May partner with CCO leadership team to develop, implement, direct, and oversee programs that provide clinical strategy and interventions to CCO clinical systems.
May plan, participate in, or lead CCO Clinical Advisory Panel (CAP), depending on CCO/regional needs.
Support and implement programs for network providers to share best clinical practice using population/panel management and performance data on clinical quality and utilization.
Knowledge, Skills and Abilities Required
Medical policy knowledge and skills as related to quality, case and disease management, credentialing activities and utilization management.
Clinical knowledge of the management of diverse medical problems, including impact of social concerns.
Understanding of health equity and ways social inequities impact health.
Basic knowledge of applicable regulatory and contractual requirements for Medicaid, Medicare and commercial insurance.
Excellent communication and collaboration skills for work with network providers and internal employees.
Education and/or ExperienceRequired:
Board-certified medical doctor or doctor of osteopathy in Family Medicine, Internal Medicine, or Pediatrics.
Licensed physician (MD or DO) in the State of Oregon.
Minimum 3 years' physician experience.
Minimum 3 years' leadership experience in a managed care organization or practice setting.
Preferred:
Administrative graduate degree, certificate of educational achievement in medical administration, or equivalent.
Working Conditions
Environment: This position's primary responsibilities typically take place in the following environment(s): Inside/office, Clinics/health facilities, Member homes.
Travel: This position may include occasional required or optional travel outside of the workplace.
Equipment: General office equipment.
Hazards: n/a
Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.
Veterans are strongly encouraged to apply.
We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.
Visa sponsorship is not available at this time.
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Requisition ID
24590
- Posted
09/19/2024
-
CareOregon
-
Full Time - Permanent
-
Portland
-
Multi Location (2)
Position Title:
Medical Director - Clinical Services
Requisition #:
24590
Department:
Medical Management Administration
Title of Manager:
Sr Medical Director - Clinical Services
Supervises:
Non-Supervisory
Exemption Status:
Exempt
Pay and Benefits:
Estimated hiring range $283,150 - $346,000/year, 10% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits
Posting Notes:
This is a hybrid position that will include travel to the Portland office and intermittent travel to Tillamook, Clatsop, and Columbia counties.
Job SummaryThis position is responsible for leading a multidisciplinary, matrixed team in supporting both internal staff, as well as external network and other partners, in implementing effective care management, quality, and other clinical practice improvement initiatives as assigned, in support of the Quadruple Aim.
Essential Responsibilities
In partnership with the Senior Medical Director and/or other Medical Directors, develop, implement, and manage clinical programs to address member needs.
Implement, direct, and oversee utilization, case, disease, and/or quality management programs.
Develop and implement programs for supporting participating physicians in optimizing quality management and utilization management.
Represent the health plan in applicable activities including medical and other professional organizations; participate in activities that enhance CareOregon's image within the community.
Provide medical support for Care Management activities.
Provide oversight of benefit determinations and appeals for medical and pharmacy as assigned by Senior Medical Director or CMO.
May partner with CCO leadership team to develop, implement, direct, and oversee programs that provide clinical strategy and interventions to CCO clinical systems.
May plan, participate in, or lead CCO Clinical Advisory Panel (CAP), depending on CCO/regional needs.
Support and implement programs for network providers to share best clinical practice using population/panel management and performance data on clinical quality and utilization.
Knowledge, Skills and Abilities Required
Medical policy knowledge and skills as related to quality, case and disease management, credentialing activities and utilization management.
Clinical knowledge of the management of diverse medical problems, including impact of social concerns.
Understanding of health equity and ways social inequities impact health.
Basic knowledge of applicable regulatory and contractual requirements for Medicaid, Medicare and commercial insurance.
Excellent communication and collaboration skills for work with network providers and internal employees.
Education and/or ExperienceRequired:
Board-certified medical doctor or doctor of osteopathy in Family Medicine, Internal Medicine, or Pediatrics.
Licensed physician (MD or DO) in the State of Oregon.
Minimum 3 years' physician experience.
Minimum 3 years' leadership experience in a managed care organization or practice setting.
Preferred:
Administrative graduate degree, certificate of educational achievement in medical administration, or equivalent.
Working Conditions
Environment: This position's primary responsibilities typically take place in the following environment(s): Inside/office, Clinics/health facilities, Member homes.
Travel: This position may include occasional required or optional travel outside of the workplace.
Equipment: General office equipment.
Hazards: n/a
Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.
Veterans are strongly encouraged to apply.
We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.
Visa sponsorship is not available at this time.
#J-18808-Ljbffr