Physician Market Medical Director - Grand Rapids, MI

Company: UnitedHealth Group
Location: Holland
Posted on: November 26, 2022

Job Description:

Landmark Health, part of the Optum and UnitedHealth Group family of businesses, was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system.The Market Medical Director (MMD) will serve as a key member of the market leadership team. He/she will report directly to the Regional Medical Officer but also have dual reporting to the Market Executive Director. The MMD's primary responsibility is to provide clinical and operational oversight to the physicians and advanced level practitioners in the market and provide direct and indirect medical care and population health management to patients served by Landmark Health. This role also acts as a leader for the market's interdisciplinary team accountable for serving the markets patient population.Primary Responsibilities:

• Direct & Indirect Care
  • Provide consultative recommendations of the most complex patients within the population
  • Provide clinical leadership, oversee quality and execute clinical operations within the market
  • Responsible for providing the means, structure, and environment to most effectively utilize the resources that are available to ensure that all enrolled members have access to appropriate medical care
  • Mentor and guide associate medical directors in reviewing reports to improve population health for patients within the market
  • Oversee associate medical director chart reviews as well as complete targeted comprehensive chart reviews and ride alongs of providers in the market coordinating with other market physicians in order to ensure high quality care of patients
  • Participate in the engagement of high utilizer patients
  • Participate in the market on call schedule and provide telephonic on-call coverage that require telephonic triage based on an as needed basis
  • Provide real time supervision of Urgentivist Extenders (paramedics or RNs/LPNs/LVNs) as needed
  • Accountable for markets performance against key clinical and operational performance metrics
  • Remain current in the knowledge of geriatrics, utilization management, quality management, managed care principals and new clinical developments and technologies
  • Oversee and participate in the development, documentation, implementation, and interpretation of local medical policies and procedures
  • Participate in the continuous assessment and improvement of the quality of care provided to members
  • Participate in the resolution of medically related grievances -
  • Team Performance Management
    • Supervise associate medical directors and advanced practitioner supervisors, including monitoring and
    • conducting regular 1:1s, proactively providing performance feedback, reviews and mentorship, overseeing provider education, in-service training, and orientation
    • Supervise market pharmacists and behavioral health advanced practitioners in the market who also have a dotted line to leadership in their discipline
    • Is the clinical hiring manager for the market and recruits physicians and advanced practice practitioners, ensuring the pursuit of talent with the appropriate mix of clinical skills and behavioral qualities to retain a high performing team
    • Oversee provider education, in-service training and provider orientation in the market
    • Provide education and share best practices: Landmark Way trainings, additional staff education, and coordinate education sessions with outside agencies
    • Assume oversight responsibility for all components of medical management in the market
    • Assume responsibility for the administration of all medical activities in the market
    • Interdisciplinary Team Leadership
      • Collaborate with leaders in outreach, health services, pharmacy, dietary, behavioral health and others to ensure the highest quality medical care at the best cost
      • Participate in clinical excellence education to providers in the market
      • Participate in weekly clinical leadership team meetings and other senior medical director meetings as necessary
      • Participate in zone meetings and promotes equity of work across the zones
      • Lead and deliver Landmark Way presentations and delegate this activity to a market associate medical director when unable
      • Participate in and lead as necessary in interdisciplinary team meetings, including case reviews that engage the full team, teaching on relevant clinical topics, and training on new protocols and workflows
      • Act as a local leader and advocate for the Landmark model with community providers and delivery systems and other community partners or potential business partners
      • Health Plan and Community Relations
      • Build and enhance community relationships with targeted hospitals, high volume PCPs, community acute care, SNF, LTC and ALF facilities in the market
      • Join meetings with Chief Medical Officers of targeted Health Plans as needed
      • Serve as an advocate for the team with community providers when escalation is necessary and ensure appropriate resolution
      • Strategy & Standardization
      • Support the Regional Medical Officer as needed with development of strategy
      • Support the Regional Medial Officer with enforcing clinical standardization across the market
      • Oversee the standardized application of specific measurements of quality and ensure that all providers consistently meet thresholds
      • Support implementation of centrally-led initiatives -Other
      • Collaborate with shared services on special projects and company-wide initiatives on an as needed basis
      • Partner with the other market leaders to create and present at quarterly business reviewsOther duties as assigned by the Regional Medical OfficerSupervisory
        • Reports directly to the Regional Medical OfficerCompetencyTo perform the job successfully, an individual should demonstrate the following competencies:
          • Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics
          • Technical Skills - Assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others.
          • Interpersonal Skills - Focuses on solving conflict; maintains confidentiality; listens to others; keeps emotions under control and overcomes resistance when necessary; remains open to new ideas.
          • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and seeks clarification; responds openly to questions. Must be able to deal with frequent change, delays, or unexpected events.
          • Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time.
          • Initiative - Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for and offers help when needed; generates suggestions for improving work and workflow.You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
            • Physician currently licensed to practice without restriction in the state of practice and has met or exceeded all the credentialing requirements of a provider within the provider panel
            • Experience in leading teams of physicians and mid-level providers in delivering high quality, cost effective care
            • Experience in recruiting and hiring medical talent along with continuous supervision of the medical care delivered
            • Experience in coaching members of the health care team to provide excellent care or, if needed, determine deficiencies in care and formulate a plan for improvement
            • Current in the knowledge of geriatrics, utilization management, quality management, managed care principals and new clinical developments and technologies
            • Ability to analyze staffing needs sufficient to care for the patient panel
            • Access to reliable transportation required; if you are driving a vehicle, you must comply with all the terms of the Landmark Motor Vehicle Safety Policy
            • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodationPhysical DemandsBelow are the physical requirements which are representative of those that must be met by the employee to -successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
              • Regular requirement to sit; use hands to touch, handle or feel
              • Regular requirement to talk and listen
              • Occasional requirement to stand; walk and reach with hands and arms
              • Occasional requirement to lift and/or move up to 10 pound
              • Vision abilities include close vision, peripheral vision, depth perception and ability to adjust focus
              • Ability to travel by plane or carWork EnvironmentBelow is a description of the work environment that the employee will encounter while performing the essential functions of the job.
                • Noise level is usually moderateTo protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employmentCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, Grand Rapids , Physician Market Medical Director - Grand Rapids, MI, Healthcare , Holland, Michigan