Associate Medical Director – CenterWell IPA

Job Description

Description

The Associate Medical Director (AMD) serves as a leader to a team of clinicians in a designated market responsible for handling a variety of health-related problems and educating patients and their families on wellness, prevention, and early detection. The AMD is responsible for executing the clinical strategy through the management a small patient panel as well as those of the clinicians whom they lead. This position will support practices in the IPA as well as some wholly owned centers.

Responsibilities

The AMD is directly responsible for

Administrative oversight and outcomes for IPA network and 1-2 wholly owned centers
Spending 10-20% of time clinically-focused on direct patient care, with the remaining time dedicated to administrative duties related to oversight of clinical provision of care including, but not limited to:Working collaboratively with Market Clinical Leader and Operational Leadership to:Provide clinical support for IPA practices and wholly owned centers as designated
Advance the Model of Care
Create profit improvement initiatives
Design operational implementations
Contribute to the strategic intent
Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in:Maintaining Collaborative / Supervisory Agreements per state protocols
Assisting with panel management
Providing direct education to clinicians around clinical protocols / disease prevalence / appropriate levels of clinical quality care
Providing guidance to individual clinicians about patient terminations, in collaboration with Compliance
Supporting clinicians with schedule templates, coverage, daily issues
Managing behavioral concerns of supervised staff
Assisting with PTO Management
Assisting with CME time and reimbursement requests
Assisting with completion of performance reviews
Assisting in resolution of inquiries, requests, and complaints from clinical staff
Assisting in organizing team building activities
Assisting in resolution of inquiries, requests, and complaints from patients
Ongoing chart review / audit of clinical staff to ensure quality care and identifying opportunities for education/coaching
Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member per Month (PMPM) costs while maintaining high quality care
Optimizing network; preferred network specialists – contributing to the identification of preferred network specialists to optimized delivery of care for ongoing maintenance / cost saving opportunities
Making decisions related to the identification and mitigation of complex technical and operational problems within clinics/centersManaging financial / operational performance of their assigned clinics to ensure success
Participating in provider committees (i.e. Technology Governance, EMR Optimization, etc.) and attending meeting regularly
Participating in Shared Service Strategy Meetings
Participating in quality improvement programs, population health programs, continuing education, and other patient care programs established by clinical requirements
Assisting in recruiting and interviewing of potential clinical staff
Participating in patient retention and marketing activities as required
Serving as a community representative in the media and press activities
Other duties as directed by the Market Clinical Leader
Maintaining confidentiality of all patient information according to both state and federal guidelines and regulations
Maintaining medical history and medical records
Ordering studies, tests and ancillary services
Participating as a back-up on-call physician
Prescribing medical treatment and clinical drugs to patients
Referring patients to specialists as needed
Required Qualifications

Bachelor’s Degree or equivalent
Graduate of accredited MD or DO program of accredited university
Licensure requirements of the state of jurisdiction
6+ years of technical experience
This role is considered patient facing and is part of Humana/Senior Bridge’s Tuberculosis (TB) screening program; if selected for this role, a TB screening is required
Preferred Qualifications

Specialty Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine
2+ years of management experience (or equivalent)
Experience working in a Value-Based Care Organization
Additional Information:

Guaranteed base salary + quarterly bonus
Excellent benefit package – health insurance effective on your first day of employment
CME Allowance/Time
Occurrence Based Malpractice Insurance
Relocation and sign-on bonus options
401(k) with Employer Match
Life Insurance/Disability
Paid Time Off/Holidays
Minimal Call
#physiciancareers

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$219,400 – $301,675 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.