Medical Director (Md), Mso/Ipa, PHP Administration, Whittier (7436-977)

PIH Health Whittier , CA 90607

Posted 2 months ago

We're a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical offices, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer and emergency services. Our leadership is dedicated to putting patients firsta cornerstone of our mission, vision and valuesas we deliver top-quality healthcare.

From our extensive facilities in Whittier, California and Downey, California, PIH Health serves more than two million residents in Los Angeles and Orange Counties and throughout the San Gabriel Valley.

The MSO Medical Director reports to the VP, Medical Group Operations of PHP and the Chief Operating Officer of the MSO and is responsible for the oversight of the functions related to the quality of care, performance metrics, and HCC coding. The key responsibilities include directing the utilization and quality management, credentialing, health plan and physician contracting, claims payment and MSO administrative functions requiring medical oversight/input. As a key member of the senior leadership team, the MSO Medical Director is accountable for leading in a manner consistent with the organization's mission, values, leadership model and customer service philosophy; assists the VP and System CMO in developing and implementing programs, policies and procedures that spans the continuum of care from ambulatory to inpatient and post-acute. With the focus to achieve strategic objectives and assure that the overall quality of medical care delivered meets or exceeds current medical standards, both in substance and in perception all the while keeping in line with pertinent health plan policies, guidelines and benefits. The MSO Medical Director will demonstrate excellent listening and communication skills to lead the group culture to achieve and sustain excellent performance.

Required Skills

  • Effective Communication/Interpersonal Skills

  • Active listener

  • Dynamic, high energy and collaborative communicator - verbal, written and electronic means

  • Seeks to understand all perspectives

  • Encourages communication between internal departments and physicians

  • Develop satisfactory resolutions to disputes and grievances

  • Build trust, respect and confidence among stakeholders

  • Strong negotiation and consensus building skills

  • Strong public speaking skills with the ability to make presentations to various groups of the respective organization(s) and stakeholders.

  • Ensuring physicians know their specific role in coding and documentation

  • Provides actionable data on a routine basis to inform the team of their current vs. expected performances

  • Design individual provider performance goals that emphasize both results and teamwork

  • Ability to see actionable information and trends in data

  • Collaborate with all PHP providers to create a shared vision of excellence

  • Coordinates the sharing of pertinent information with each provider so they can be successful

  • Provides needed resources to support each provider in meeting or exceeding their expectations

  • Develop and sustains high performance teams focused on producing results

  • Develop a culture of excellence

Required Experience

Required:

  • M.D. graduation from an accredited medical school

  • Residency completion in an appropriate specialty with Board Certification

  • Minimum of 5 years in clinical practice

  • Prior medical administration experience in multi-specialty groups/IPAs and health plans

Preferred:

  • MHA or other advanced health industry or business degree

  • Lean Six Sigma certification

Beyond the benefits that come with working for the area's leading community healthcare provider one that also recognizes the need to ensure patient safety and comfort you'll enjoy an extremely competitive compensation and benefits package. We are an equal opportunity employer and seek diversity in our workforce. EOE M/F/D/V


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Medical Director (Md), Mso/Ipa, PHP Administration, Whittier (7436-977)

PIH Health