State Medical Director

Overview

Required skills and experience: · Full licensure to practice medicine in the State of Pennsylvania and must be board-certified in a primary care specialty. · Experience in a clinical, academic or administrative capacity. Have a strong community health/public health orientation, be experienced in patient care management, and should possess all of the qualifications of a staff physician. What you need to know: Under the administrative direction of the Clinical Operating Officer, the State Medical Director is responsible for compliance with all clinical medical policies, directives, rules, regulations and clinical performance standards of the state, the federal government and accrediting bodies, and serves as the supervising physician for practicing mid-level providers. I. Essential Job Functions/Duties · Initiates and assists in the ongoing supervision and support of clinical staff · with medical and support staff to assure quality patient care. · Provides the final medical decision on medical issues when disputes arise. · Formulates policies and objectives for medical programs and platforms and communicates these policies to appropriate staff for execution within an integrated team case management approach. · Provides consultation to Chief Executive Officer(s) and Clinic Directors to assess and provide clinical training for department or staff, as needed. · Assists in developing clinical policies and formulating the mission, goals, and philosophy of care. · Recommends clinical objectives and participates in the designation of priority objectives for the clinics with reference to implementation of the health care plan. · Responsible for the development of the Clinic’s health care plan based on community health needs, epidemiology of the community, and health behavior of the community. · Assists with the development of the organizational plan for clinical operations and provide for efficient use of personnel in the application of multiple health skills (disciplines) to community and individual health problems. · May represent the organization in community activities designed to modify community behavior, epidemiology, and/or needs. · Has oversight for annual and periodic performance evaluations of clinical providers or delegates this responsibility to clinical directors. · Prepares and recommends qualifications statements for c credentialing, job descriptions, and evaluation standards for all clinical personnel. · Advises on health information system needs; develops, recommends, and conduct special studies of health needs and priorities, interpret clinical data. · Participates in the periodic review of practice management functions, e.g., reception, telephone triage, patient flow, outreach services, laboratory, follow-up on missed appointments, referral tracking, etc. · Arranges and conduct regular meetings of clinical providers or delegates this responsibility to clinical directors. · Maintains advice and consent functions regarding the responsibilities and privileges of administrative personnel supervising ancillary (e.g., laboratory, x-ray, etc.) services. · Institutes and manage continuing professional education, in- service training, and orientation of clinical staff or delegates this responsibility to clinical directors. · Participates in the development of health risk management protocols. · Serves as a liaison to local and state professional societies, as well as to health officials, organizations, and health institutions, as appropriate. · Assists in the development and supervision, implementation, and operation of a quality improvement and quality assurance program as it relates to patient care. · Represents the views, needs, concerns, and policy proposals of the medical staff to the Chief Executive Officer or delegates this responsibility to clinical directors. · Is responsible for the quality control of medical care including compliance with accreditation standards, through active involvement with facility administration and intimate knowledge of the medical care components of the community service program. · Chairs the Quality Improvement and Assurance Committee. · Is the lead physician of the clinic’s health care team. · Serves and/or assists as a primary rater (or review officer where additional levels of supervision exist) for all clinical personnel evaluations; recommends or participates in final determination of disciplinary actions and terminations as well as nomination of individuals for awards or delegates this responsibility to clinical directors. · Assists in the presentation of reports on health and quality assurance issues to the Board of Directors regularly, as determined by the CEOs and Board.

Qualifications

• Doctorate degree
• Valid Medical Doctor (MD)
• ANY of the following valid licenses/certifications:
  • Boad Certification
  • MD License in PA
• Are you comfortable working in a start-up environment?

Company

This client is bringing population health from rhetoric to reality through its belief that improving health requires member engagement, provider alignment and proactive care delivery. With this vision in mind, the company developed their own Solutions Platform — a scalable set of technology-enabled, common-sense interventions for poverty and geographic health disparities driven by its work in inner-city communities since 2014.