Medical Director Population Health

Our promise to you:

Continuing your journey with AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Job Description:

• Communicates clinical cost, utilization, appropriate coding and documentation, quality, and member service opportunity studies and their recommendations to appropriate stakeholders.
• Leads efforts to develop and implement systems and processes to improve the clinical cost, utilization, appropriate coding and documentation, quality, and member service outcomes.
• Leads the peer review program and facilitates interaction with network providers regarding corrective action plans.
• Oversees credentialing operations, including reviewing applications and participating in committee meetings.
• Acts as a liaison for clinical issues between network providers and leadership. Educates network practices and physicians on performance improvement and best practices.

Knowledge, Skills, and Abilities:

• Strong leadership and organizational skills. [Required]
• Outstanding collaborative skills with demonstrated ability to work effectively with physicians. [Required]
• Skilled at conflict resolution. [Required]
• High level interpersonal skills. [Required]
• Excellent written and oral communication ability. [Required]
• Critical thinking/problem solving skills. [Required]

Education:

• Doctorate m.d. / d.o. degree from an accredited program [Required]

Field of Study:

• M.D. / D.O. degree from an accredited program

Work Experience:

• 2+ years of experience in healthcare leadership, preferably at a managed care organization, integrated delivery system, or multispecialty group practice [Required]
• 5+ years of clinical experience [Required]
• Experience in communication with physicians [Preferred]
• Experience in network management from a payor and / or integrated payor / provider standpoint [Preferred]
• Experience in the analysis of clinical information, the identification of improvement opportunities, and the implementation of robust performance improvement methodologies [Preferred]
• Experience in the design and implementation of clinical protocols and utilization management / quality assurance programs [Preferred]
• Experience in the design and implementation of provider reimbursement systems [Preferred]
• Physician reviewer or utilization management experience [Preferred]

Additional Information:

• N/A

Licenses and Certifications:

• Medical Doctor (MD) [Required] OR

• Doctor of Osteopathic Medicine (DO) [Required]

• American Board of Medical Specialties (ABMS) [Required]

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements – https://tinyurl.com/23km2677

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Qualification Requirements:

Doctorate (Required)American Board of Medical Specialties (ABMS) – Accredited Issuing Body, Doctor of Osteopathic Medicine (DO) – EV Accredited Issuing Body, Medical Doctor (MD) – EV Accredited Issuing Body

Work Shift:

Day (United States of America)

Pay Range:

$206,606.17 – $413,212.34

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.