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Market Medical Director - Oklahoma City, OK

Company: UnitedHealth Group
Location: Oklahoma City
Posted on: November 26, 2022

Job Description:

ABOUT LANDMARK

Do you want to make a difference in healthcare?

Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system.

Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Program is also offered to eligible patients at no incremental financial cost to them. We are not a fee-for- service practice; we benefit economically only if we deliver high-quality patient outcomes and satisfaction. As a result, our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve.

At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health, and other employed team members.

Join Landmark to be part of a growing company full of purpose-driven, action-oriented, and compassionate team members working to dramatically transform healthcare for our communities

OBJECTIVE

The Market Medical Director (MMD) will serve as a key member of the market leadership team. He/she will report directly to the Regional Medical Officer but also have dual reporting to the Market Executive Director. The MMD's primary responsibility is to provide clinical and operational oversight to the physicians and advanced level practitioners in the market and provide direct and indirect medical care and population health management to patients served by Landmark Health. This role also acts as a leader for the market's interdisciplinary team accountable for serving the markets patient population.

SUMMARY

Direct & Indirect Care

  • Provide consultative recommendations of the most complex patients within the population
  • Provide clinical leadership, oversee quality and execute clinical operations within the market
  • Responsible for providing the means, structure, and environment to most effectively utilize the resources that are available to ensure that all enrolled members have access to appropriate medical care
  • Mentor and guide associate medical directors in reviewing reports to improve population health for patients within the market
  • Oversee associate medical director chart reviews as well as complete targeted comprehensive chart reviews and ride alongs of providers in the market coordinating with other market physicians in order to ensure high quality care of patients
  • Participate in the engagement of high utilizer patients
  • Participate in the market on call schedule and provide telephonic on-call coverage that require telephonic triage based on an as needed basis
  • Provide real time supervision of Urgentivist Extenders (paramedics or RNs/LPNs/LVNs) as needed
  • Accountable for markets performance against key clinical and operational performance metrics
  • Remain current in the knowledge of geriatrics, utilization management, quality management, managed care principals and new clinical developments and technologies
  • Oversee and participate in the development, documentation, implementation, and interpretation of local medical policies and procedures
  • Participate in the continuous assessment and improvement of the quality of care provided to members
  • Participate in the resolution of medically related grievances Team Performance Management
  • Supervise associate medical directors and advanced practitioner supervisors, including monitoring and conducting regular 1:1s, proactively providing performance feedback, reviews and mentorship, overseeing provider education, in-service training, and orientation
  • Supervise market pharmacists and behavioral health advanced practitioners in the market who also have a dotted line to leadership in their discipline
  • Is the clinical hiring manager for the market and recruits physicians and advanced practice practitioners, ensuring the pursuit of talent with the appropriate mix of clinical skills and behavioral qualities to retain a high performing team
  • Oversee provider education, in-service training and provider orientation in the market
  • Provide education and share best practices: Landmark Way trainings, additional staff education, and coordinate education sessions with outside agencies
  • Assume oversight responsibility for all components of medical management in the market
  • Assume responsibility for the administration of all medical activities in the market

    Interdisciplinary Team Leadership
    • Collaborate with leaders in outreach, health services, pharmacy, dietary, behavioral health and others to ensure the highest quality medical care at the best cost
    • Participate in clinical excellence education to providers in the market
    • Participate in weekly clinical leadership team meetings and other senior medical director meetings as necessary
    • Participate in zone meetings and promotes equity of work across the zones
    • Lead and deliver Landmark Way presentations and delegate this activity to a market associate medical director when unable
    • Participate in and lead as necessary in interdisciplinary team meetings, including case reviews that engage the full team, teaching on relevant clinical topics, and training on new protocols and workflows
    • Act as a local leader and advocate for the Landmark model with community providers and delivery systems and other community partners or potential business partners

      Health Plan and Community Relations
      • Build and enhance community relationships with targeted hospitals, high volume PCPs, community acute care, SNF, LTC and ALF facilities in the market
      • Join meetings with Chief Medical Officers of targeted Health Plans as needed
      • Serve as an advocate for the team with community providers when escalation is necessary and ensure appropriate resolution

        Strategy & Standardization
        • Support the Regional Medical Officer as needed with development of strategy
        • Support the Regional Medial Officer with enforcing clinical standardization across the market
        • Oversee the standardized application of specific measurements of quality and ensure that all providers consistently meet thresholds
        • Support implementation of centrally-led initiatives Other
        • Collaborate with shared services on special projects and company-wide initiatives on an as needed basis
        • Partner with the other market leaders to create and present at quarterly business reviewsOther duties as assigned by the Regional Medical Officer

          SUPERVISORY

          Reports directly to the Regional Medical Officer

          COMPETENCY

          To perform the job successfully, an individual should demonstrate the following competencies:
          • Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics.
          • Technical Skills - Assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others.
          • Interpersonal Skills - Focuses on solving conflict; maintains confidentiality; listens to others; keeps emotions under control and overcomes resistance when necessary; remains open to new ideas.
          • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and seeks clarification; responds openly to questions. Must be able to deal with frequent change, delays, or unexpected events.
          • Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time.
          • Initiative - Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for and offers help when needed; generates suggestions for improving work and workflow. Required Qualifications:
            • Physician currently licensed to practice without restriction in the state of practice and has met or exceeded all the credentialing requirements of a provider within the provider panel
            • Current in the knowledge of geriatrics, utilization management, quality management, managed care principals and new clinical developments and technologies
            • Have experience in leading teams of physicians and mid-level providers in delivering high quality, cost effective care
            • Experience in recruiting and hiring medical talent along with continuous supervision of the medical care delivered
            • Ability to analyze staffing needs sufficient to care for the patient panel
            • Experience in coaching members of the health care team to provide excellent care or, if needed, determine deficiencies in care and formulate a plan for improvement
            • Access to reliable transportation required; if you are driving a vehicle, you must comply with all the terms of the Landmark Motor Vehicle Safety Policy . click apply for full job details

Keywords: UnitedHealth Group, Oklahoma City , Market Medical Director - Oklahoma City, OK, Healthcare , Oklahoma City, Oklahoma

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