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Medical Director Specialty Care Billings

Medical Director Specialty Care Billings

IHC Health Services, Inc.Billings, MT, US
5 days ago
Job type
  • Full-time
Job description

Responsibilities : Leadership :

  • Practice medicine with excellence, as an example to others, exhibiting qualities and behaviors consistent with Employers Framework for Excellence
  • Provide leadership, management and coaching for providers toward the attainment of the clinical, quality, patient experience, productivity and strategic growth goals of Intermountain Health; assist in becoming a highly functional, integrated Medical Group
  • Assist in hiring of Physicians, Nurse Practitioners and Physician Assistants in collaboration with market Associate Chief Medical Officer and Regional VP of Practice Operations
  • Collaborate with the Regional VP of Practice Operations, Practice Administrators and other members of the management team in the development of strategic plans, quality programs, practice transformation and initiatives in alignment with Intermountain Health.
  • Maintain and enhance open and effective communication among providers, management teams, Care Site, and Intermountain Health
  • Ensure that all Physician and Advanced Practice Providers (APP) reviews and check-ins are up to date
  • Supervise, collaborate and mentor Medical Directors of reporting specialties / provider groups

Financial Stewardship

  • Review cost, utilization and value data regularly with Practice Administrators and ensure that this data is effectively disseminated among all assigned providers.
  • Collaborate with Practice Administrators to assist with local practice management to control costs and provide efficient, effective delivery of care.
  • Assist Practice Administrators and Intermountain Health (Coding and Payer Relations, Managed Care Contracting, Finance and Accounting, and Patient Financial Services) to facilitate the education of providers.
  • 3. Customer Service :

  • Collaborate with team(s) in efforts related to optimize customer service and patient care (patients and employers, as well as physicians, associates, and other internal customers), and assist the Executive Director, Practice Administrators in efforts to develop superior service and quality; and
  • May serve as liaison, when appropriate, to internal and external customers.
  • 4. Physician Partnership and Support

  • Meet regularly with leadership to develop strong relationships with providers and care teams that is essential to the successful performance of the practice and the organization;
  • Engage and be responsible for performance of reporting Medical Directors and matrixed providers.
  • Coordinate and participate in regular Practice meetings as a forum for dialogue around organizational strategic themes, clinical quality, patient experience, productivity and as a forum for gaining provider trust, input and feedback
  • Participate with market Associate Chief Medical Officer in quarterly Leadership rounding to assigned clinics.
  • Assist with physician and APP recruitment, retention and interviewing activities.
  • Attend PLC monthly meetings and subcommittee meetings as assigned.
  • Partner with clinical programs and service line leadership, responsible for implementing clinical best practices, care process models to promote clinical excellence, and high realizability while reducing unnecessary clinical variation.
  • 5. Quality Management

  • Assist the Associate Chief Medical Officer in developing and deploying tools to measure care outcomes related to the improvement of care processes, in the context of clinical quality, service and access.
  • Ensure that the services provided by the employed providers are compliant with all legal and regulatory requirements and will assist with monitoring and auditing when necessary.
  • Responsible to provider engagement and performance to clinical quality metrics and at-risk measurements
  • Minimum Requirements

  • MD or DO with ABMS or equivalent AOA Board Certification in a relevant specialty.
  • Active Medical Licensure
  • Minimum two years of clinical experience in relevant specialty and experience in leading successful quality improvement projects within the clinical setting.
  • Effective verbal, written, and interpersonal communications skills.
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