Chief Medical OfficerMemorialCare Health System • Fountain Valley, CA, United States
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Chief Medical Officer
MemorialCare Health System • Fountain Valley, CA, United States
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job_description.job_card.job_descriptionCollaborate with Executive Management Team (EMT) to develop and implement annual strategic and business plans to achieve the MCMF mission and vision. Oversee and direct the transformation of the outpatient delivery system to a value-based, patient-centered integrated delivery system. Fosters high-functioning relationships with executives and leaders from across the healthcare system to build and optimize the performance of MHS as an integrated delivery system. Maintain a high level of leadership visibility in each of the medical groups, IPA, and other aligned clinical sites of care. Connect provider engagement strategies to ensure ongoing progress is being made to improve the Joy of Practice for our providers. Foster alignment of clinicians with key MemorialCare initiatives. Partner with CEO to evaluate governance structures for the medical group and IPA, enhancing accountability and performance ownership. Provide leadership in developing physician networks, including affiliated networks of independent Providers that we contract with to provide population health services and risk-based contracts. Plan, direct and develop the strategic plan for physician growth, primary care, specialists, and office locations including group acquisitions and affiliations. Ensure adequate Peer Review structures and processes are in place to drive quality beyond clinical care metrics. Lead the medical aspects of a population health initiative for MCMG / GNP and coordinate with system-wide strategies and programs. Lead the strategic development and expansion of the MCMF and GNP specialty network around the MemorialCare hospitals. Partner with the CEO in development and performance of CINs. Partner with CEO to support MHS Clinical Institutes. Promote the development of best practices, evidence-based medicine and the meaningful use of technology as a member of the MemorialCare Physician Society. Responsible for the medical components for MCMF quality improvement and performance improvement (P4P). Oversee and lead integration of the physicians in the medical group with each other and the MemorialCare system. Promote advocacy and networking by building strong linkages with advocacy and other community organizations. Participates and promotes system-wide business development and integration strategies. Lead and participate in joint venture strategy development acquisitions and provide clinical and business guidance in JV operations, including ASC's, Imaging Centers, Endoscopy Centers, Physical Therapy, Dialysis, and Oral Health. The CMO participates with key stakeholders in the coordination, advancement, and growth of all aligned providers to enhance affordability, access, quality, and the reduction of variability of care delivery. Oversee and lead the Utilization Management / Case Management / Disease Management programs with a focus on driving VBC performance while achieving the quadruple aim. Helps vet and implement technology for disease management registry, risk stratification, and predictive modeling. Oversight of Primary Care Physician (PCP) and Specialist credentialing program. Oversight of Quality Management committee activities, peer review, integration committee, risk management, grievance review, physician counseling and education, and P4P program. Develop and implement Continuing Medical Education (CME) and other educational activities including Pharmacy and Therapeutics and Risk Management. Oversight of Clinical Pharmacists and pharmacy programs related to generic utilization, formulary management, anti-coagulation clinic, diabetes clinic, Synagis clinic, and other special clinics. Promote development of new clinics to better manage chronic disease and prevention. Evaluate programs to improve patient, family and provider satisfaction. Promote effective communication among providers, senior leadership hospital leadership and governance. Lead the collaboration efforts between physicians in the medical group and IPA. Represent MCMF on the Physician Society Board. Develop and implement new medical management initiatives and programs. Monitor and direct activities to manage specialty claims cost. Develop strong partnerships with hospital leadership, medical group and IPA physician leadership, and health system leadership, including work closely with Provider Relations to ensure effective education and maintenance of wrap around specialty network. Identify and assess third party managed care entities for potential business alliances. Monitor company compliance with government and contractual requirements. Oversight of charge analysis, charge audits, and adherence to Medicare guidelines. Participate in the development of marketing material for patient focused disease management programs and physician marketing activities. Evaluate provider profile data reports, provide consultation and interventions including disciplinary action per policy / procedure. Support corporate counsel in risk management and contract evaluation. Work with Medical Directors of the medical group and IPA to facilitate quality assurance and other provider activities. Monitor and develop compensation policy for Physicians and Advanced Practice Providers. Direct and oversee PSA negotiations and renewals with the medical group. Executive Full-time Health Care Provider Industries : Hospitals and Health Care
Pay Range
- : Open
MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.
Title : Chief Medical Officer
Location : Fountain Valley
Department : Executive
Status : Full Time
Shift : Day
Position Summary
Provides executive clinical leadership for the MemorialCare Medical Foundation (MCMF) using medical, organizational, interpersonal, and business management skills, to build alignment and integration amongst the physicians and providers with the goal of building and scaling an aligned clinical and organizational voice. Directs, plans, and coordinates activities of the physicians, advance practice providers and employees engaged in the delivery of medical care and medical management services. Advises management and staff on medical policy and operations. Recommends tactics to improve performance, quality of medical care, and the patient experience. Works to partner with physicians and providers to align with the goals of the organization. Ensures providers comply with all legal and regulatory requirements. Promotes and directs change, integration and transformation of the outpatient care delivery system.
Essential Functions And Responsibilities Of The Job
Operations
Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCarethat includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
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