Chief Medical Officer (CMO)

Fall River, Massachusetts SSTAR

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Job Description

full-time
Job Description: Shift: First Shift About Us We’re more than just quality treatment for substance use disorders. We’re a total health community. At SSTAR, our mission is healing the community, one person at a time. We will provide a personal level of healthcare and addiction treatment that addresses the mental, physical, and spiritual well-being of everyone we touch. SSTAR is a Federally Qualified Health Center (FQHC) which affords our employees eligibility to apply for one of our three Loan Repayment Programs, including the HRSA LRP. About The Role The Chief Medical Officer (CMO) collaborates with and assists the Chief Executive Officer (CEO) and other directors and members of senior management in executing the mission and visions of the organization. The CMO is the clinical leader responsible for medically directing patient care teams of licensed independent practitioners, including physicians, nurse practitioners, and other medical professionals. In collaboration with the CEO, the CMO oversees and directs all medical teams in utilization management, population health and wellness, clinician engagement, safety and quality, and patient engagement. As the advocate of the medical teams, the CMO through clinical leadership and direct patient care, provides a medical perspective to the decision process in implementing patient centered, cost effective primary care, improving health care access and health outcomes. The CMO supports the mission, vision, and values of the organization and will adhere to compliance protocols as well as policies and procedures. Benefits 403B
Dental insurance
Disability insurance through Massachusetts PFML
Employee discounts, cell phone, eyewear etc.
Health insurance
Life insurance
Paid time off
Vision insurance
Flexible Spending Account
Opportunities to earn CEU's
Voluntary Benefits including but not limited to, Disability, Life, Critical Illness, Accident and Disability Insurances
Paid Long Term Disability Duties & Responsibilities Serves as the clinical spokesperson for the organization expressing the collective vision and principles endorsed by leadership and the board of directors.
In collaboration with the CEO, COO, and CIO, provides leadership and advocacy regarding the development and utilization of stable, reliable and customer-oriented HER and IT systems that meet the needs of the organization.
Under the direction of the CEO and in collaboration with the COO, works as a partner to ensure continuing development as a Patient Centered Medical Home (PCMH).
Attends seminars, training sessions and in-services, to keep current with trends and practices in health care administration, as needed.
Travels to sites as necessary. Must be willing to work evening hours and weekends if necessary.
Performs other job-related duties, as may be assigned by the CEO.
Consults with patients to obtain history, performing physical examination, ordering lab and other tests, prescribing medications and treatments.
Provides continuity in managed care for patients with pre-existing long-term problems.
Makes referrals for secondary and tertiary care.
Performs medical procedures, according to privileges issued.
Provides health maintenance visits, evaluating for immunizations, and providing anticipatory guidance and referrals; performing contract and special physical examinations as required by privileges issued.
Documents all patient contact accurately and legibly on the medical record. In collaboration with the CEO and COO, the CMO ensures that all staff adhere to safety standards and deliver the highest quality of medical care. Empowers the clinical and quality teams with the leadership and resources they need to successfully complete initiatives.
Communicates the clinical vision so the clinicians and staff understand how they are connected with the vision and values of the organization.
Solicits and reinforces constructive and professional relationships with organizations, companies, municipalities, etc. with which the organization partners and/or sub-contracts with, for the provision of quality health care services.
Provides the leadership, management and vision necessary to ensure that the organization has the proper clinical controls, administrative and reporting procedures in place to effectively develop and manage goals and objectives.
Performs all duties as assigned by privileges issued and as an active member of the medical team. Experience and Skills: Education & Experience Current licensure as an MD/DO to practice in the State of MA by the State Board of Medical Examiners.
Current DEA, State Controlled Substance certification.
Three (3) or more years of supervisory skills.
Preference will be given to work experience in a public health or community clinic setting, previous works as a Medical Director, completion of an accredited primary care residency program, or Board Certification in Family Medicine.
Valid MA Driver’s License.
Must be able to meet and maintain current credentialing and privileging requirements.
Experience with electronic medical records a plus.
Excellent written and oral communication skills.
Results-proven track record of exceeding goals.
High level of business acumen and understanding of budgets, financial statements and reports, and strategic planning.
Ability to balance the delivery of programs against the realities of a budget. From: SSTAR
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Executive Chief Physician, Primary Care Division (New Bedford)

02746 New Bedford, Massachusetts Southcoast Health

Posted today

Job Viewed

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Job Description

full time
Executive Chief Physician, Primary Care Division Executive Chief Physician, Primary Care Division

1 week ago Be among the first 25 applicants

*All interested applicants will be held in strict confidence.*

Southcoast Health is a not-for-profit, fully integrated, community-based health system headquartered in Southeastern Massachusetts, and the largest provider of primary and specialty care in the region. Southcoast Health is the largest employer headquartered in Southeastern Massachusetts, and one of the largest employers in the Commonwealth, employing more than 8,000 skilled and caring individuals across the system of care.

Southcoast Healths services are conveniently located throughout Southeastern Massachusetts and Rhode Island, with three acute care hospitals in Fall River, New Bedford, and Wareham, two Centers for Cancer Care, six Urgent Care Centers, a visiting nurse and home health association, and physician offices and ambulatory facilities located conveniently and strategically throughout the region.

Established in 2010, Southcoast Physicians Group (SPG) is a multi-specialty integrated network of more than 540 physicians with 137 primary care providers. SPG has 10 Accredited NCQA Level III Patient Centered Medical Homes and 64 ambulatory practice locations.

SPG is proud to be the largest and most highly respected medical group in the region, providing a wide variety of medical specialties to meet all unique patient needs with a dedicated network of care.

Responsibilities

Reporting to the Executive Vice President & Chief Physician Officer of Southcoast Physicians Group (SPG), the Executive Chief, Primary Care Division is the lead physician executive responsible for the clinical, financial, and overall performance of Southcoast Healths Primary Care Division.

Partnering with the VP of Clinical Operations for Primary Care and leaders across the health system, the position will :

  • Develop a vision, strategic initiatives and operational goals for the Primary Care Division and communicate plans to the SPG provider group, medical staff of Southcoast Hospitals Group, and Southcoast Health Network, focused on growth, integration, and optimization of programs and services that support Southcoast Health System (SHS) strategy.
  • Provide clinical direction and administrative oversight to Associate Chiefs of three (3) Primary Care regions and serve as a mentor, guide, and supportive partner to a diverse group of providers, both employed and affiliated, Primary Care support staff, and operational leadership.
  • Foster a culture of excellence, collaboration, innovation, and respect; serve as a role model demonstrating commitment to SHS Code of Conduct and key policies.
  • Lead efforts to incorporate evidenced based practice and clinical quality measures in the Primary Care Division; assist in the creation of an ongoing quality and performance improvement plan and program.
  • Develop a Clinical Operating Model which supports a patient centric experience, integrated clinical care, and a supportive provider environment. This includes participating in staff planning and development for physicians, APPs, and support staff.
  • Assess current and future programs including new areas of expansion and evolving market opportunities (g., Value Based Reimbursement, Population Health Management, etc.).
  • Manage operational performance and resources efficiently; lead performance improvement and resource utilization initiatives.
  • Establish operating budgets, monitor the Primary Care Divisions financial performance, participate in monthly reviews of operating results, and help course correct when necessary to achieve budgeted targets.
  • Develop the provider staffing plan for the Primary Care Division, and successfully manage physician and APP recruitment. Review and consult on provider employment agreements and compensation consistent with approved compensation plans, fair market value (FMV) and enterprise-wide standards.
  • Develop programs and community outreach initiatives to grow Southcoast Health Network and maintain liaisons with cooperating and affiliated organizations.
  • Participate in patient care by maintaining an ambulatory practice, participating in on-call coverage, and performing other clinical activities.

Qualifications

The successful candidate will be a well-respected, practicing primary care physician with the ability and willingness to balance a 30/70 split of clinical and administrative responsibilities while performing the Executive Chief role.

Education

  • MD/DO degree and board certification in Internal Medicine or Family Medicine
  • Completion of an accredited residency in Primary Care
  • Current medical license in Massachusetts or ability to obtain one
  • Possess an advanced healthcare leadership degree (MBA, MHA, MPH, etc.) preferred

Experience

  • Minimum of ten (10) years experience as a practicing primary care provider in an integrated healthcare system
  • Minimum of 7 years of progressive clinical and administrative leadership experience in a high performing and complex healthcare setting
  • Currently practicing as a clinician for a minimum of 30% of time
  • Possess broad and contemporary market insight regarding the current status, trends and outlook for a healthcare delivery system
  • Strong knowledge of healthcare finance, value-based care, medical informatics, budgeting, and regulatory requirements
  • Proven ability to effectively lead large teams, manage through change, and drive operational improvements
  • Demonstrated ability to partner and collaborate across a complex, highly matrixed health care system
  • Strong knowledge and experience of clinical operations, resource utilization and management, and driving improvements in Primary Care quality and safety
  • Excellent communication skills, both written and verbal, and strong platform/facilitation skills
  • Comfortable working in the public domain; has the ability to engage with community leaders, donors, and public figures
Seniority level
  • Seniority level Executive
Employment type
  • Employment type Full-time
Job function
  • Job function Health Care Provider
  • Industries Hospitals and Health Care

Referrals increase your chances of interviewing at Southcoast Health by 2x

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Plymouth, MA $200,000.00-$250,000.00 6 days ago

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Executive Chief Physician, Primary Care Division (New Bedford)

02746 New Bedford, Massachusetts Southcoast Health System

Posted today

Job Viewed

Tap Again To Close

Job Description

full time

Overview

Southcoast Health is a not-for-profit, fully integrated, community-based health system headquartered in Southeastern Massachusetts, and the largest provider of primary and specialty care in the region. Southcoast Health is the largest employer headquartered in Southeastern Massachusetts, and one of the largest employers in the Commonwealth, employing more than 8,000 skilled and caring individuals across the system of care.

Southcoast Healths services are conveniently located throughout Southeastern Massachusetts and Rhode Island, with three acute care hospitals in Fall River, New Bedford, and Wareham, two Centers for Cancer Care, six Urgent Care Centers, a visiting nurse and home health association, and physician offices and ambulatory facilities located conveniently and strategically throughout the region.

Established in 2010, Southcoast Physicians Group (SPG) is a multi-specialty integrated network of more than 540 physicians with 137 primary care providers. SPG has 10 Accredited NCQA Level III Patient Centered Medical Homes and 64 ambulatory practice locations.

SPG is proud to be the largest and most highly respected medical group in the region, providing a wide variety of medical specialties to meet all unique patient needs with a dedicated network of care.

Responsibilities

Reporting to the Executive Vice President & Chief Physician Officer of Southcoast Physicians Group (SPG), the Executive Chief, Primary Care Division is the lead physician executive responsible for the clinical, financial, and overall performance of Southcoast Healths Primary Care Division.

Partnering with the VP of Clinical Operations for Primary Care and leaders across the health system, the position will :

  • Develop a vision, strategic initiatives and operational goals for the Primary Care Division and communicate plans to the SPG provider group, medical staff of Southcoast Hospitals Group, and Southcoast Health Network, focused on growth, integration, and optimization of programs and services that support Southcoast Health System (SHS) strategy.
  • Provide clinical direction and administrative oversight to Associate Chiefs of three (3) Primary Care regions and serve as a mentor, guide, and supportive partner to a diverse group of providers, both employed and affiliated, Primary Care support staff, and operational leadership.
  • Foster a culture of excellence, collaboration, innovation, and respect; serve as a role model demonstrating commitment to SHS Code of Conduct and key policies.
  • Lead efforts to incorporate evidenced based practice and clinical quality measures in the Primary Care Division; assist in the creation of an ongoing quality and performance improvement plan and program.
  • Develop a Clinical Operating Model which supports a patient centric experience, integrated clinical care, and a supportive provider environment. This includes participating in staff planning and development for physicians, APPs, and support staff.
  • Assess current and future programs including new areas of expansion and evolving market opportunities (g., Value Based Reimbursement, Population Health Management, etc.).
  • Manage operational performance and resources efficiently; lead performance improvement and resource utilization initiatives.
  • Establish operating budgets, monitor the Primary Care Divisions financial performance, participate in monthly reviews of operating results, and help course correct when necessary to achieve budgeted targets.
  • Develop the provider staffing plan for the Primary Care Division, and successfully manage physician and APP recruitment. Review and consult on provider employment agreements and compensation consistent with approved compensation plans, fair market value (FMV) and enterprise-wide standards.
  • Develop programs and community outreach initiatives to grow Southcoast Health Network and maintain liaisons with cooperating and affiliated organizations.
  • Participate in patient care by maintaining an ambulatory practice, participating in on-call coverage, and performing other clinical activities.
Qualifications

The successful candidate will be a well-respected, practicing primary care physician with the ability and willingness to balance a 30/70 split of clinical and administrative responsibilities while performing the Executive Chief role.

Education

  • MD/DO degree and board certification in Internal Medicine or Family Medicine
  • Completion of an accredited residency in Primary Care
  • Current medical license in Massachusetts or ability to obtain one
  • Possess an advanced healthcare leadership degree (MBA, MHA, MPH, etc.) preferred

Experience

  • Minimum of ten (10) years experience as a practicing primary care provider in an integrated healthcare system
  • Minimum of 7 years of progressive clinical and administrative leadership experience in a high performing and complex healthcare setting
  • Currently practicing as a clinician for a minimum of 30% of time
  • Possess broad and contemporary market insight regarding the current status, trends and outlook for a healthcare delivery system
  • Strong knowledge of healthcare finance, value-based care, medical informatics, budgeting, and regulatory requirements
  • Proven ability to effectively lead large teams, manage through change, and drive operational improvements
  • Demonstrated ability to partner and collaborate across a complex, highly matrixed health care system
  • Strong knowledge and experience of clinical operations, resource utilization and management, and driving improvements in Primary Care quality and safety
  • Excellent communication skills, both written and verbal, and strong platform/facilitation skills
  • Comfortable working in the public domain; has the ability to engage with community leaders, donors, and public figures
#J-18808-Ljbffr
View Now

Executive Chief Physician, Primary Care Division (New Bedford)

02746 New Bedford, Massachusetts Southcoast Health System, Inc.

Posted today

Job Viewed

Tap Again To Close

Job Description

full time
Overview

Southcoast Health is a not-for-profit, fully integrated, community-based health system headquartered in Southeastern Massachusetts, and the largest provider of primary and specialty care in the region. Southcoast Health is the largest employer headquartered in Southeastern Massachusetts, and one of the largest employers in the Commonwealth, employing more than 8,000 skilled and caring individuals across the system of care.

Southcoast Healths services are conveniently located throughout Southeastern Massachusetts and Rhode Island, with three acute care hospitals in Fall River, New Bedford, and Wareham, two Centers for Cancer Care, six Urgent Care Centers, a visiting nurse and home health association, and physician offices and ambulatory facilities located conveniently and strategically throughout the region.

Established in 2010, Southcoast Physicians Group (SPG) is a multi-specialty integrated network of more than 540 physicians with 137 primary care providers. SPG has 10 Accredited NCQA Level III Patient Centered Medical Homes and 64 ambulatory practice locations.

SPG is proud to be the largest and most highly respected medical group in the region, providing a wide variety of medical specialties to meet all unique patient needs with a dedicated network of care.

Responsibilities

Reporting to the Executive Vice President & Chief Physician Officer of Southcoast Physicians Group (SPG), the Executive Chief, Primary Care Division is the lead physician executive responsible for the clinical, financial, and overall performance of Southcoast Healths Primary Care Division.

Partnering with the VP of Clinical Operations for Primary Care and leaders across the health system, the position will :

  • Develop a vision, strategic initiatives and operational goals for the Primary Care Division and communicate plans to the SPG provider group, medical staff of Southcoast Hospitals Group, and Southcoast Health Network, focused on growth, integration, and optimization of programs and services that support Southcoast Health System (SHS) strategy.
  • Provide clinical direction and administrative oversight to Associate Chiefs of three (3) Primary Care regions and serve as a mentor, guide, and supportive partner to a diverse group of providers, both employed and affiliated, Primary Care support staff, and operational leadership.
  • Foster a culture of excellence, collaboration, innovation, and respect; serve as a role model demonstrating commitment to SHS Code of Conduct and key policies.
  • Lead efforts to incorporate evidenced based practice and clinical quality measures in the Primary Care Division; assist in the creation of an ongoing quality and performance improvement plan and program.
  • Develop a Clinical Operating Model which supports a patient centric experience, integrated clinical care, and a supportive provider environment. This includes participating in staff planning and development for physicians, APPs, and support staff.
  • Assess current and future programs including new areas of expansion and evolving market opportunities (g., Value Based Reimbursement, Population Health Management, etc.).
  • Manage operational performance and resources efficiently; lead performance improvement and resource utilization initiatives.
  • Establish operating budgets, monitor the Primary Care Divisions financial performance, participate in monthly reviews of operating results, and help course correct when necessary to achieve budgeted targets.
  • Develop the provider staffing plan for the Primary Care Division, and successfully manage physician and APP recruitment. Review and consult on provider employment agreements and compensation consistent with approved compensation plans, fair market value (FMV) and enterprise-wide standards.
  • Develop programs and community outreach initiatives to grow Southcoast Health Network and maintain liaisons with cooperating and affiliated organizations.
  • Participate in patient care by maintaining an ambulatory practice, participating in on-call coverage, and performing other clinical activities.
Qualifications

The successful candidate will be a well-respected, practicing primary care physician with the ability and willingness to balance a 30/70 split of clinical and administrative responsibilities while performing the Executive Chief role.

Education

  • MD/DO degree and board certification in Internal Medicine or Family Medicine
  • Completion of an accredited residency in Primary Care
  • Current medical license in Massachusetts or ability to obtain one
  • Possess an advanced healthcare leadership degree (MBA, MHA, MPH, etc.) preferred

Experience

  • Minimum of ten (10) years experience as a practicing primary care provider in an integrated healthcare system
  • Minimum of 7 years of progressive clinical and administrative leadership experience in a high performing and complex healthcare setting
  • Currently practicing as a clinician for a minimum of 30% of time
  • Possess broad and contemporary market insight regarding the current status, trends and outlook for a healthcare delivery system
  • Strong knowledge of healthcare finance, value-based care, medical informatics, budgeting, and regulatory requirements
  • Proven ability to effectively lead large teams, manage through change, and drive operational improvements
  • Demonstrated ability to partner and collaborate across a complex, highly matrixed health care system
  • Strong knowledge and experience of clinical operations, resource utilization and management, and driving improvements in Primary Care quality and safety
  • Excellent communication skills, both written and verbal, and strong platform/facilitation skills
  • Comfortable working in the public domain; has the ability to engage with community leaders, donors, and public figures
#J-18808-Ljbffr
View Now

Executive Chief Physician, Primary Care Division (New Bedford)

New Bedford, Massachusetts Southcoast Health

Posted today

Job Viewed

Tap Again To Close

Job Description

full-time
Executive Chief Physician, Primary Care Division Executive Chief Physician, Primary Care Division

1 week ago Be among the first 25 applicants

*All interested applicants will be held in strict confidence.*

Southcoast Health is a not-for-profit, fully integrated, community-based health system headquartered in Southeastern Massachusetts, and the largest provider of primary and specialty care in the region. Southcoast Health is the largest employer headquartered in Southeastern Massachusetts, and one of the largest employers in the Commonwealth, employing more than 8,000 skilled and caring individuals across the system of care.

Southcoast Healths services are conveniently located throughout Southeastern Massachusetts and Rhode Island, with three acute care hospitals in Fall River, New Bedford, and Wareham, two Centers for Cancer Care, six Urgent Care Centers, a visiting nurse and home health association, and physician offices and ambulatory facilities located conveniently and strategically throughout the region.

Established in 2010, Southcoast Physicians Group (SPG) is a multi-specialty integrated network of more than 540 physicians with 137 primary care providers. SPG has 10 Accredited NCQA Level III Patient Centered Medical Homes and 64 ambulatory practice locations.

SPG is proud to be the largest and most highly respected medical group in the region, providing a wide variety of medical specialties to meet all unique patient needs with a dedicated network of care.

Responsibilities

Reporting to the Executive Vice President & Chief Physician Officer of Southcoast Physicians Group (SPG), the Executive Chief, Primary Care Division is the lead physician executive responsible for the clinical, financial, and overall performance of Southcoast Healths Primary Care Division.

Partnering with the VP of Clinical Operations for Primary Care and leaders across the health system, the position will :

  • Develop a vision, strategic initiatives and operational goals for the Primary Care Division and communicate plans to the SPG provider group, medical staff of Southcoast Hospitals Group, and Southcoast Health Network, focused on growth, integration, and optimization of programs and services that support Southcoast Health System (SHS) strategy.
  • Provide clinical direction and administrative oversight to Associate Chiefs of three (3) Primary Care regions and serve as a mentor, guide, and supportive partner to a diverse group of providers, both employed and affiliated, Primary Care support staff, and operational leadership.
  • Foster a culture of excellence, collaboration, innovation, and respect; serve as a role model demonstrating commitment to SHS Code of Conduct and key policies.
  • Lead efforts to incorporate evidenced based practice and clinical quality measures in the Primary Care Division; assist in the creation of an ongoing quality and performance improvement plan and program.
  • Develop a Clinical Operating Model which supports a patient centric experience, integrated clinical care, and a supportive provider environment. This includes participating in staff planning and development for physicians, APPs, and support staff.
  • Assess current and future programs including new areas of expansion and evolving market opportunities (g., Value Based Reimbursement, Population Health Management, etc.).
  • Manage operational performance and resources efficiently; lead performance improvement and resource utilization initiatives.
  • Establish operating budgets, monitor the Primary Care Divisions financial performance, participate in monthly reviews of operating results, and help course correct when necessary to achieve budgeted targets.
  • Develop the provider staffing plan for the Primary Care Division, and successfully manage physician and APP recruitment. Review and consult on provider employment agreements and compensation consistent with approved compensation plans, fair market value (FMV) and enterprise-wide standards.
  • Develop programs and community outreach initiatives to grow Southcoast Health Network and maintain liaisons with cooperating and affiliated organizations.
  • Participate in patient care by maintaining an ambulatory practice, participating in on-call coverage, and performing other clinical activities.

Qualifications

The successful candidate will be a well-respected, practicing primary care physician with the ability and willingness to balance a 30/70 split of clinical and administrative responsibilities while performing the Executive Chief role.

Education

  • MD/DO degree and board certification in Internal Medicine or Family Medicine
  • Completion of an accredited residency in Primary Care
  • Current medical license in Massachusetts or ability to obtain one
  • Possess an advanced healthcare leadership degree (MBA, MHA, MPH, etc.) preferred

Experience

  • Minimum of ten (10) years experience as a practicing primary care provider in an integrated healthcare system
  • Minimum of 7 years of progressive clinical and administrative leadership experience in a high performing and complex healthcare setting
  • Currently practicing as a clinician for a minimum of 30% of time
  • Possess broad and contemporary market insight regarding the current status, trends and outlook for a healthcare delivery system
  • Strong knowledge of healthcare finance, value-based care, medical informatics, budgeting, and regulatory requirements
  • Proven ability to effectively lead large teams, manage through change, and drive operational improvements
  • Demonstrated ability to partner and collaborate across a complex, highly matrixed health care system
  • Strong knowledge and experience of clinical operations, resource utilization and management, and driving improvements in Primary Care quality and safety
  • Excellent communication skills, both written and verbal, and strong platform/facilitation skills
  • Comfortable working in the public domain; has the ability to engage with community leaders, donors, and public figures
Seniority level
  • Seniority level Executive
Employment type
  • Employment type Full-time
Job function
  • Job function Health Care Provider
  • Industries Hospitals and Health Care

Referrals increase your chances of interviewing at Southcoast Health by 2x

Get notified about new Chief of Medicine jobs in New Bedford, MA .

Plymouth, MA $200,000.00-$250,000.00 6 days ago

Medical Director - New Bedford, MA/Remote Medical Director - Leach Animal Hospital

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#J-18808-Ljbffr
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Executive Chief Physician, Primary Care Division (New Bedford)

New Bedford, Massachusetts Southcoast Health System

Posted today

Job Viewed

Tap Again To Close

Job Description

full-time

Overview

Southcoast Health is a not-for-profit, fully integrated, community-based health system headquartered in Southeastern Massachusetts, and the largest provider of primary and specialty care in the region. Southcoast Health is the largest employer headquartered in Southeastern Massachusetts, and one of the largest employers in the Commonwealth, employing more than 8,000 skilled and caring individuals across the system of care.

Southcoast Healths services are conveniently located throughout Southeastern Massachusetts and Rhode Island, with three acute care hospitals in Fall River, New Bedford, and Wareham, two Centers for Cancer Care, six Urgent Care Centers, a visiting nurse and home health association, and physician offices and ambulatory facilities located conveniently and strategically throughout the region.

Established in 2010, Southcoast Physicians Group (SPG) is a multi-specialty integrated network of more than 540 physicians with 137 primary care providers. SPG has 10 Accredited NCQA Level III Patient Centered Medical Homes and 64 ambulatory practice locations.

SPG is proud to be the largest and most highly respected medical group in the region, providing a wide variety of medical specialties to meet all unique patient needs with a dedicated network of care.

Responsibilities

Reporting to the Executive Vice President & Chief Physician Officer of Southcoast Physicians Group (SPG), the Executive Chief, Primary Care Division is the lead physician executive responsible for the clinical, financial, and overall performance of Southcoast Healths Primary Care Division.

Partnering with the VP of Clinical Operations for Primary Care and leaders across the health system, the position will :

  • Develop a vision, strategic initiatives and operational goals for the Primary Care Division and communicate plans to the SPG provider group, medical staff of Southcoast Hospitals Group, and Southcoast Health Network, focused on growth, integration, and optimization of programs and services that support Southcoast Health System (SHS) strategy.
  • Provide clinical direction and administrative oversight to Associate Chiefs of three (3) Primary Care regions and serve as a mentor, guide, and supportive partner to a diverse group of providers, both employed and affiliated, Primary Care support staff, and operational leadership.
  • Foster a culture of excellence, collaboration, innovation, and respect; serve as a role model demonstrating commitment to SHS Code of Conduct and key policies.
  • Lead efforts to incorporate evidenced based practice and clinical quality measures in the Primary Care Division; assist in the creation of an ongoing quality and performance improvement plan and program.
  • Develop a Clinical Operating Model which supports a patient centric experience, integrated clinical care, and a supportive provider environment. This includes participating in staff planning and development for physicians, APPs, and support staff.
  • Assess current and future programs including new areas of expansion and evolving market opportunities (g., Value Based Reimbursement, Population Health Management, etc.).
  • Manage operational performance and resources efficiently; lead performance improvement and resource utilization initiatives.
  • Establish operating budgets, monitor the Primary Care Divisions financial performance, participate in monthly reviews of operating results, and help course correct when necessary to achieve budgeted targets.
  • Develop the provider staffing plan for the Primary Care Division, and successfully manage physician and APP recruitment. Review and consult on provider employment agreements and compensation consistent with approved compensation plans, fair market value (FMV) and enterprise-wide standards.
  • Develop programs and community outreach initiatives to grow Southcoast Health Network and maintain liaisons with cooperating and affiliated organizations.
  • Participate in patient care by maintaining an ambulatory practice, participating in on-call coverage, and performing other clinical activities.
Qualifications

The successful candidate will be a well-respected, practicing primary care physician with the ability and willingness to balance a 30/70 split of clinical and administrative responsibilities while performing the Executive Chief role.

Education

  • MD/DO degree and board certification in Internal Medicine or Family Medicine
  • Completion of an accredited residency in Primary Care
  • Current medical license in Massachusetts or ability to obtain one
  • Possess an advanced healthcare leadership degree (MBA, MHA, MPH, etc.) preferred

Experience

  • Minimum of ten (10) years experience as a practicing primary care provider in an integrated healthcare system
  • Minimum of 7 years of progressive clinical and administrative leadership experience in a high performing and complex healthcare setting
  • Currently practicing as a clinician for a minimum of 30% of time
  • Possess broad and contemporary market insight regarding the current status, trends and outlook for a healthcare delivery system
  • Strong knowledge of healthcare finance, value-based care, medical informatics, budgeting, and regulatory requirements
  • Proven ability to effectively lead large teams, manage through change, and drive operational improvements
  • Demonstrated ability to partner and collaborate across a complex, highly matrixed health care system
  • Strong knowledge and experience of clinical operations, resource utilization and management, and driving improvements in Primary Care quality and safety
  • Excellent communication skills, both written and verbal, and strong platform/facilitation skills
  • Comfortable working in the public domain; has the ability to engage with community leaders, donors, and public figures
#J-18808-Ljbffr

View Now

Executive Director, US Medical Science Liaisons

02912 Providence, Rhode Island Travere Therapeutics

Posted 6 days ago

Job Viewed

Tap Again To Close

Job Description

Department:

107200 Medical Affairs

Location:

USA- Remote

Be a part of a global team that is inspired to make a difference in the lives of people living with rare disease.

At Travere Therapeutics, we recognize that our exceptional employees are vital to our success. We are a dedicated team focused on meeting the unique needs of rare patients.Our work is rewarding - both professionally and personally - because we are making a difference. We are passionate about what we do.

We are seeking talented individuals who will thrive in our collaborative, diverse, fast-paced environment and share in our mission - to identify, develop and deliver life-changing therapies to people living with rare disease. We stick by our values centered on patients, courage, community, and collaboration to pursue our vision of becoming a leading biopharmaceutical company dedicated to the delivery of innovation and hope to patients in the global rare disease community.

At Travere Therapeutics, we are in rare for life. We continue to courageously forge new paths as we move toward a common goal of elevating science and service for rare patients.

Position Summary

The Executive Director, US Medical Science Liaisons (MSLs), is a dynamic and visionary leader responsible for shaping the strategic direction, performance, and impact of Travere's US Field Medical team. This role leads a growing and agile team of regional directors and MSLs, serving as a key architect of field excellence across our marketed therapies.

The ideal candidate is an inspirational and inclusive leader with extensive experience in Medical Affairs, a strong understanding of the field landscape, and the ability to motivate, coach, and develop high-performing teams. This individual will champion scientific exchange, strategic alignment, impactful insight gathering and cross-functional collaboration to ensure that the US MSL organization delivers meaningful impact for patients, KOLs, and the business.

Key Responsibilities

Strategic Leadership

  • Define and execute the vision, strategy, and goals for the US MSL team in alignment with Medical Affairs, Commercial, Clinical Development, and Corporate strategies.
  • Own the development and implementation of a robust US Field Medical Plan that drives measurable impact across three core pillars:
    • Stakeholder Engagement - Ensure scientific exchange efforts are targeted, timely, and tailored to key opinion leaders (KOLs), digital opinion leaders (DOLs), and institutional stakeholders to shape clinical thinking and shift mindsets.
    • Data Dissemination - Oversee the consistent and compliant delivery of emerging evidence and scientific narratives to support understanding, confidence, and appropriate use of Travere's therapies.
    • Insight Generation - Lead processes for capturing and translating field insights into strategic intelligence that informs medical strategy, clinical development, and integrated evidence planning.
  • Establish clear performance metrics to evaluate the effectiveness of field engagement activities and track progress toward key outcomes, including scientific advocate development, practice change potential, and cross-functional alignment.
  • Ability to evolve the field strategy to anticipate external shifts and stakeholder needs, ensuring the MSL team remains future-focused, data-driven, and impact-oriented.

Team Management & Talent Development

  • Lead, inspire, and develop a high-performing, mission-driven team of Regional Field Directors and MSLs.
  • Foster a culture of accountability, trust, and inclusion-recognizing and rewarding performance, and actively supporting professional development and retention.
  • Oversee performance management, growth plans, and succession planning across the field team.

Operational Excellence

  • Align field resources to business needs, including oversight of budget management, territory optimization, and field deployment strategies.
  • Maintain rigorous compliance with internal and external regulations and serve as a model for scientific integrity and ethical behavior.
  • Manage vendor relationships and ensure consistency of MSL operations, metrics, and capabilities.

Cross-Functional Collaboration

  • Act as a strategic partner to Medical Affairs leadership and cross-functional teams, including Clinical, Commercial (sales & marketing), Market Access, and Regulatory.
  • Translate insights from the field into actionable strategy across the business-helping shape evidence generation plans, data communication, and stakeholder engagement.
  • Ensure appropriate field coverage at major medical congresses and key scientific forums.

Education/Experience Requirements:

  • Advanced degree (PharmD, PhD, MD, DO, or equivalent) in a relevant life science discipline required. Equivalent combination of education and applicable job experience may be considered.
  • Minimum 10 years of Medical Affairs experience, including at least 5 years in field medical leadership required.
  • Proven track record of leading a large, geographically dispersed MSL team.
  • Experience in rare disease and/or nephrology highly preferred.
  • Deep understanding of payer, academic and key account engagement models.

Additional Skills/Experience/Requirements:

  • Inspirational leader with a proven ability to motivate, coach, and retain top talent.
  • Previous line management experience with the ability to effectively manage performance, engage team members, provide coaching, and respond to situations affecting staff.
  • Strategic thinker who balances scientific rigor with business acumen.
  • Highly collaborative, with strong communication and influencing skills across levels and functions.
  • Comfortable navigating ambiguity, driving change, and scaling best practices.
  • Strong commitment to diversity, equity, inclusion, and patient centricity.
  • Successful record of creating and managing complex project plans, timelines, budgets, and critical paths.
  • Ability to adapt to modification and changes to project plans, demonstrating flexibility to implement new strategies and tactics to accommodate these changes.
  • Willingness to travel up to 50% as needed.

Total Rewards Offerings :
Travere provides comprehensive total rewards offerings that demonstrate our commitment as a diverse, equitable, people-centric, and pay-for-performance organization.

Benefits: Our benefits include premium health, financial, work-life and well-being offerings for eligible employees and dependents, wellness and employee support programs, life insurance, disability, retirement plans with employer match and generous paid time off.

Compensation : Our competitive compensation package includes a combination of both cash compensation (base pay and short-term incentive) and long-term incentive compensation (company stock), designed to recognize, retain, and reward employees.

Target Base Pay Range:

$238,000.00 - $320,000.00

*This information is current as of the date of this posting and may be modified in the future. Actual pay offered to a candidate will depend on a variety of factors including the candidate's experience, education, skills, and location.

Travere will accept applications on an ongoing basis until a candidate is selected for the position.

Travere Therapeutics, Inc. is an EEO/AA/Veteran/Disability Employer.

If you require a reasonable accommodation to complete the application or interview process, please contact us by sending an email to Please note that this email address is to be used exclusively to request an accommodation with the online application, interview or hiring process only. Travere HR will not reply to emails sent to this address for any other reason.

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Medical Director

02720 Fall River, Massachusetts Grifols Shared Services North America, Inc

Posted 5 days ago

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Job Description

Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming clinical trials, including indication selection, design of trials, and ongoing medical monitoring of safety signals in trials. This is a remote role and candidate can be located anywhere within the US. **Responsibilities include, but are not limited to the following:** + Design of trials, including study population and eligibility criteria, treatment duration, clinical endpoints, biomarkers, and safety mitigation strategy + Serve as the Program Physician for associated clinical trials, addressing patient eligibility and treatment questions in collaboration with the contract research organization (CRO) medical monitor, or directly with study investigators + Work closely with preclinical scientists to understand how the biological effects observed in animals can be translated to humans, and use this information to choose the best clinical endpoints and biomarkers for clinical trials + Be familiar with the nonclinical safety data (toxicology) and use this information to develop safety mitigation strategies in clinical trial design + Serve as a key part of the cross-functional project team, supporting the overall strategy, budget, and timeline of the project + Review safety data for individual subjects and trend review for safety signals from ongoing trials + Interpret, summarize, and present data from clinical trials to the company and externally + Provide strategic input for clinical development plans and regulatory strategy + Provide input/review of clinical documents, e.g. protocols, investigator's brochures, case report forms + Participate in site/investigator identification and evaluation for clinical trials; conduct site engagement calls and visits + Lead preparation of clinical sections of relevant regulatory filings (IND, study reports, NDA, etc.) in cooperation with colleagues in Regulatory Affairs and other functions + Serve as program medical expert for internal and external collaborators, investigators, consultants, and contract resources + Provide and enhance knowledge in the associated therapeutic area to support global clinical development plans + Represent the company at scientific meetings and presentations + Attend and provide medical support for investigator and consultant meetings and clinical advisory boards + Develop and manage relationships with key opinion leaders to obtain advice and feedback **Skills/Qualifications/Education Requirements:** (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, skills, education, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions) + Medical Degree + Typically requires 8 years of clinical research experience with at least 5 years of clinical document production and/or clinical trial feasibility and strategy or related experience. Additional experience may include other pharmaceutical or academic research in the field. + Hands-on experience with clinical trial design, trial conduct and oversight, including medical monitoring for trials in a broad spectrum of indications including medical immunology, hematology, and oncology. + Knowledgeable in GCP guidelines in US and Europe + Team player with good oral presentation and written skills + Collaborative and flexible in personal interactions + Ability to work proactively and effectively, with exceptional problem-solving skills + Up to 25% travel _*Depending on the area of assignment, directly related experience or a combination of directly related education and experience and/or competencies may be considered in place of the stated requirements. Example: If a job level requires a Bachelor's degree plus 4 years of experience, an equivalency could include 8 years of experience, an Associate's degree with 6 years of experience, or a Master's degree with 2 years of experience._ If you have the work ethic and mental agility to embrace a fast-paced and rapidly evolving environment, you will be rewarded with diverse and exciting experiences. This is your chance to add real value to an entrepreneurial organization that supports bold innovation and new ideas. Grifols welcomes passionate, team-oriented colleagues who are looking to improve the health of patients worldwide by developing a deeper understanding of human disease. **Pay Scale:** The estimated pay scale for the Medical Director (1-2) role based in the United States (non-California), is $170,000.00 - $40,000.00 per year/per hour. Additionally, the position is eligible to participate in 15% - 30% of the company bonus pool (depending on level of role). We offer a wide variety of benefits including, but not limited to: Medical, Dental, Vision, PTO, 9 paid Holidays per year, up to 5% 401(K) match and tuition reimbursement. Final compensation packages will ultimately depend on education, experience, skillset, knowledge, where the role is performed, internal equity and market data. We are committed to offering our employees opportunities for professional growth and career progression. Grifols is a global healthcare organization with employees in 30 countries focused on patient health and providing impactful results. Since our humble beginnings in 1909, Grifols has been a family company that prides itself on its family-like culture. Our company has more than tripled over the last 10 years, and you can grow with us! **For Washington State:** Currently, the first year PTO accrual for this role is 160 hours per year. Then, after completion of 365 days of employment the PTO accrual for this role will increase to 180 hours per year. **For California:** The estimated pay scale for the Medical Director (1-2) role based in California, is 170,000.00- 250,000.00 per year. Work is performed in an office environment with exposure to electrical office equipment. Frequently sits for 6-8 hours per day. Repetitive hand movement of both hands with the ability to make fast, simple, repeated movements of the fingers, hands, and wrists. Occasionally walks and stands. Occasionally bends and twists neck. Light to moderate lifting and carrying objects with a maximum lift of 25lbs. Frequently drives to site locations with occasional travel within the United States. Able to communicate information and ideas so others will understand; with the ability to listen to and understand information and ideas presented through spoken and written words and sentences. Interacts with others, relates sensitive information to diverse groups. Must work with diverse groups to obtain consensus on issues. Third Party Agency and Recruiter Notice: Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate. **Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws, including but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.** Learn more about Grifols ( **Req ID:** 528005 **Type:** Regular Full-Time **Job Category:** Clinical Trials

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Medical Director

02842 Middletown, Rhode Island Newport Mental Health

Posted 7 days ago

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Job Description

WHO WE ARE.

Newport Mental Health (NMH) is a progressive high-energy organization that uses state of the art person-centered recovery approach to help individuals recover from mental illness and substance use disorders. NMH extends its trauma informed evidence-based services to children, adolescents, families, and adults. Our services vary from outreach, specialized program, mental health, school-based therapy, substance use therapy, community-based therapy, and outpatient clinic.

For more information visit our website:

WHO WE ARE LOOKING FOR.

Mission- Aligned: You are excited to be a part of Newport Mental Health's mission to improve the lives of our clients living and working in Newport County by providing the highest quality of care.

Ally: You intentionally foster belonging, personal growth, and empowerment for all. You are a strong advocate for the BIPOC, LQBTQIA+, Woman, Veteran, and other underrepresented communities.

Solution Orientated: You are driven to think of different approaches to narrow the gap which leads to positive and effective changes.

Time Management: You are a conscious planner and a thoughtful decision maker who adheres to deadlines.

WHAT WE OFFER.
  • Excellent Health and Dental Insurance.
  • Vacation, Sick and Personal time accrued biweekly.
  • Up to 11 Paid Holidays.
  • Retirement program through Mutual of America.
  • Additional supplemental insurance programs.
  • Tuition reimbursement.
  • Mileage reimbursement.
  • Employer paid life insurance.
  • Flexible spending account (FSA) and dependent care (DCA) spending accounts.
WHAT YOU WILL BE DOING (ESSENTIAL DUTIES) .

Responsible for the provision and oversight of psychiatric medical services with a diverse patient population. Provides psychiatric assessment and treatment to clients while serving as a consultant to other staff. Participates in quality improvement, quality assurance, peer review and medical staff activities. Participates as a member of the Management Team in the organization's decision-making structures and processes.

Main Duties and Responsibilities:
  • Translate mission, vision, values, and strategic planning into action plans. Build a shared vision with Agency staff and acts as a positive catalyst of organizational change and growth.
  • Participate as a member of the Management Team in the organization's decision-making structures and processes.
  • Co-Chair regular Medical/Clinical Staff Meetings with the Clinical Director.
  • Responsible for the clinical and administrative supervision and support of all NMH prescribers. Holds staff accountable for meeting standards of care and job expectations including reasonable productivity and no-show standards.
  • Oversee clinical policy development and adherence.
  • Set the standards for medical and clinical care.
  • Chair of the Pharmacy and Therapeutics committee.
  • Provide clinical guidance, role-models, coaches, and assists in the areas of professional and clinical development, team building, and patient care.
  • Collaborate with the Chief Executive Officer and Chief Clinical Officer to oversee the quality and effectiveness for the delivery of clinical care in all NMH departments.
  • Assist in the planning, development, implementation, and oversight of programs, including integrated care. Develop innovative ways, both within the organization and externally, to improve the quality and performance of services.
  • Support medical staff in the design and fidelity to the Just in Time centralized scheduling process.
  • Provide leadership to guide the organization's efforts in continuous quality improvement.
  • Communicate effectively with staff, clients, natural supports, and community partners.
  • Maintain thorough, timely clinical documentation meeting Federal and State guidelines and standards including medical staff evaluation and monitoring coding.
  • Ensure the cost effective and efficient delivery of care, and the appropriate utilization of resources based on the MTM productivity modeling tool.
  • Promote integrated care and care management activities of our Integrated Health Homes and participation in our Integrated Health Partnership Medicaid accountable care initiatives.
  • Provide consultation to the Chief Executive Officer, Chief Clinical Officer, Chief Operating Officer, Division Directors, Supervisors, and staff regarding medical and psychiatric issues.
  • Meet leadership standards for the CCBHC Medical Director role and Joint Commission standards.
  • Maintain familiarity with State and Federal regulations for prescription medications (including controlled substances) and prepare organization policies and procedures to guide the use of prescription medications and controlled substances at NMH.
  • Participate actively in professional organizations in order to further education, professional growth, and networking.
  • Obtain and record information about client's medical and psychiatric histories for the purpose of diagnostic formulation and treatment planning.
  • Conduct comprehensive Psychiatric Assessments.
  • Conduct and record mental status exams to monitor response to treatment.
  • Order consultations to assist in difficult diagnostic formulation.
  • Order and interpret laboratory studies, EKG's, EEGs, and neuroimaging to provide accurate diagnostic information as well as to monitor side effects and other co-occurring medical conditions.
  • Prescribe and monitor psychotropic medications according to best practice standards and in concert with the Center's policy and procedures and Pharmacy and Therapeutics guidelines.
  • Discuss risks and benefits and obtain informed consent from client (or personal representative) before initiating pharmacotherapy.
  • Demonstrate the ability to integrate general medical concerns into psychiatric practice as evidenced by attention to drug interactions, complications of medical illness and behavioral effects of somatic illness.
  • Provide psycho education to clients and families.
  • Conduct and supervise treatment of clients with substance use disorders.
  • Perform emergency assessments and admit to the mental health unit of Newport Hospital, as necessary.
  • Participate in the Center and Hospital physician on-call coverage schedule.
  • Provide consultation and follow-up communication with law enforcement agencies, community agencies, medical facilities, and inpatient units.
  • Participate actively in team communication processes that ensure appropriate management of cases 7 days per week.
  • Seek and actively participates in regularly scheduled supervision with emphasis on an openness to receive feedback and integrate recommendations in the execution of job responsibilities.
Requirements

WHAT WE EXPECT OF YOU.
  • Valid, unlimited Rhode Island medical license as an M.D. or D.O.
  • Completion of a residency program in psychiatry.
  • Board-eligible or board certified in psychiatry.
  • Full, unrestricted Licensure to practice psychiatric medicine in the State of Rhode Island.
  • Full, unrestricted DEA license to prescribe medication.
  • Minimum five (5) years of clinical practice. Minimum (2) years administrative experience in a psychiatric/behavioral health setting.

APPLY NOW

Submitting your application is a great way to learn more about Newport Mental Health. If you have questions about how your experience aligns with our job openings or know someone who would be a great candidate for our job openings, please contact Human Resources:

Human Resources

Newport Mental Health

42 Valley Road

Middletown, RI 02842

Tel:

Fax:

Newport Mental Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
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Medical Director

02915 Riverside, Rhode Island PACE Organization of Rhode Island

Posted 7 days ago

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Job Description

Job Summary:
Under the supervision of the CEO of PACE the Medical Director provides general medical direction and supervision of the medical aspects of care for PACE-RI. In conjunction with the Chief Operating Officer provides direction and supervision of related primary care, nursing, and allied health services. The Medical Director has authority over the quality improvement program within PACE and sets forth a philosophy of care through the development of protocols, education, and best practices.

Job Duties/Responsibilities:
  • Assumes overall accountability and responsibility for the medical care of the participants of PACE-RI.
  • Provides direct primary care for an appropriate panel size of participants.
  • Performs comprehensive history and physical on new enrollees within 30 days of enrollment
  • Performs interval assessments on established participants, semi-annually or as directed.
  • Evaluates and treats participants with episodic illnesses and informs IDT as to the chronic and acute care trajectory.
  • Judiciously utilizes and oversees the use of specialist consultations as needed
  • Admits participants to hospital, providing primary care attending responsibilities; and/or coordinates and manages care through pro-active collaboration with hospitalist, provides updates to the IDT on a regular basis, and assists with actively coordinating discharge planning with IDT
  • Manages all care of participants in the nursing home, conducts regular visits, and performs telephone consultations with nursing home staff as required
  • Conducts home visits as needed
  • Collaborates with other IDT members and other providers to formulate and achieve care plan goals, meet emergent and acute needs of participants, and assure comprehensive and continuous care
  • Ability to work sensitively and effectively with individuals of diverse and ethnic cultural backgrounds.
  • Actively participates in family conferences and manages sensitive conversations related to medical care needs
  • Manages the placement of clients in the hospital, skilled nursing facility and long-term care placement by participating in the approval, review and management of such placements
  • Maintain positive relationship with hospitals and agencies that support community-based long-term care
  • Ensures development and compliance with organizational policies and procedures and all applicable regulatory requirements and standards
  • Develops written policies, protocols, andor staff education designed to improve the quality of clinical care
  • Serves as an active member of committees that require input regarding medical care or assigns an appropriate designee
  • Provides medical evaluation, direction and guidance to PACE as required by law and consistent with CMS regulations
  • Furnishes medical expertise, leadership and consultation regarding the design, implementation, and evaluation of clinical services within the context of organizational mission, vision and goals
  • Collaborates with senior management to promote quality, efficiency and effectiveness of service. This includes responsibility for use of current clinical services, and the design of new services to reduce institutional utilization
  • Recognizes trends in care provision/utilization and oversees appropriate utilization of medical and institutional services. Identifies negative trends and coordinates appropriate interventions that along with IDT will trigger a plan to manage them in a timely manner; develops quality calendar with Quality Specialist and reports out on results annually to Board of Directors.
  • Recruits and provides ongoing supervision, mentorship and training of primary care physicians and nurse practitioners and provides clinical oversight and input into their periodic performance evaluations
  • Creates and encourages the implementation of pathways or tools that assist the team in making sound clinical decisions regarding utilization of services
  • Oversees the training of medical students, fellows, and research projects at or in conjunction with PACE-RI
  • Demonstrates thorough knowledge of current concepts, evidenced based practice, theories, and practices to guide the clinicians and IDT in home and community-based care for the elderly and disabled adults
  • Participates in the contract negotiations for the medical-related providers and evaluates the competence and quality of existing providers on a regular basis
  • Serves as community liaison with physicians, hospitals, and other health care providers
  • Interfaces actively with other PACE-RI physicians and medical directors
  • Together with Senior Management, supports the IDT in reaching decisions via consensus according to PACE-RI policy and procedural guidelines
  • Create and implement departmental audit system to identify areas of non-compliance and opportunities for quality improvement; use data to inform decision making and action steps.
  • Responsible for leading and managing the strategic and operational aspects of pharmacy services, ensuring compliance with regulatory standards, and driving improvements in medication safety, quality, and efficiency.
  • Demonstrates an understanding of the importance of clear, thorough documentation as crucial to good participant care; completes and enters accurate, thorough participant documentation in the electronic health record; enters documentation for assessments, orders, and notes within required timeframes.
  • Performs other related duties as required and assigned.

Required Skills & Abilities:
Ability to maintain confidentiality
Ability to prioritize tasks and meet project deadlines
Proficiency with MS Office Suite or similar software
Dependable and punctual with ability to maintain consistent attendance
Ability to read, write and comprehend English
Ability to maintain sound judgement under stress and communicate effectively
Ability to research and analyze data, draw conclusions, and resolve issues
Ability to read, interpret, and apply policies, procedures, laws, and regulations
Ability to proficiently perform clinical/skilled tasks associated within scope of position

Education Requirement:
Doctorate, Required

Physical Requirements:
Physical ability to regularly stoop, bend, kneel, lift, stand, walk, stretch and reach for extended periods of time.
Must be able to regularly lift objects up to 25 pounds and at times up to 35 pounds.
Must be able to assist a 200-250 lb participant, using proper body mechanics.
Must have hearing and vision abilities within normal range (corrected) to drive safely and/or to observe and communicate with participants.
Must be able to navigate various departments of the organization's physical premises as well as related community care settings.
Must be able to tolerate conditions typically associated within a medical office and/or home care setting including potential exposure to bloodborne pathogens and infectious diseases.
Must be able to complete assignments in variable weather conditions and ever-changing and sometimes allergenic environments in participant homes, including extreme heat, humidity, dust, smoke, pet contamination, and cleaning supplies.

Experience:
5 years primary care experience with senior population, Required
3-5 years of Staff management, budgetary and clinical management experience, Preferred

Licensure & Certification Requirements:
RI Doctor of medicine or osteopathy
RI Controlled Substance Registration

Position Requirements:
CPR Certification
NPI Number
DEA Registration Number
Driver's License & access to reliable transportation: community-based travel required.
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Medical Director

02940 Providence, Rhode Island Highmark Health

Posted 5 days ago

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Job Description

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J266916
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