What are the responsibilities and job description for the Medical Director- Hospital & Ancillary Relations position at IEHP?
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
The Medical Director of Hospital & Ancillary Relations serves as a physician advisor / dyad partner to other members of the Hospital and Ancillary Relations leadership team in providing clinical leadership and guidance toward operational and quality improvement activities aimed at achieving the strategic initiatives set forth by Plan administration as they relate to hospital and ancillary services. The Medical Director of Hospital and Ancillary Relations leverages their knowledge and experience in health care operations and team dynamics to effectively collaborate with health plan and provider leaders and departments, soliciting input and support in identifying and implementing practice activities and setting appropriate standards to improve care delivery within the hospital and ancillary setting.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
Pay Range
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
The Medical Director of Hospital & Ancillary Relations serves as a physician advisor / dyad partner to other members of the Hospital and Ancillary Relations leadership team in providing clinical leadership and guidance toward operational and quality improvement activities aimed at achieving the strategic initiatives set forth by Plan administration as they relate to hospital and ancillary services. The Medical Director of Hospital and Ancillary Relations leverages their knowledge and experience in health care operations and team dynamics to effectively collaborate with health plan and provider leaders and departments, soliciting input and support in identifying and implementing practice activities and setting appropriate standards to improve care delivery within the hospital and ancillary setting.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
- CalPERS retirement
- 457(b) option with a contribution match
- Generous paid time off- vacation, holidays, sick
- State of the art fitness center on-site
- Medical Insurance with Dental and Vision
- Paid life insurance for employees with additional options
- Short-term, and long-term disability options
- Pet care insurance
- Flexible Spending Account – Health Care/Childcare
- Wellness programs that promote a healthy work-life balance
- Career advancement opportunities and professional development
- Competitive salary with annual merit increase
- Team bonus opportunities
- Five (5) years of post-residency or licensure experience in a recognized specialty that includes but is not limited to Family Medicine, Internal Medicine, Pediatrics, and Emergency Medicine
- Experience in quality, care coordination, utilization management in an inpatient, ACO or FQHC environment
- Strong product and program management experience, product delivery, product environments, and management consulting
- Preferred: At least three (3) years of administrative experience. Experience is in a variety of clinical settings including inpatient, outpatient practice, and community-based care settings
- Medical Degree in a clinically related field (e.g., MD, DO) from an accredited institution required
- Preferred: Additional Master’s Degree (e.g., MS, MPH, MBA) from an accredited institution
- Possession of an active, unrestricted, and unencumbered Physician’s and Surgeon’s Certificate issued by the State of California Medical Board required (A physician certified in a state other than California may be employed prior to receipt of California certification provided that an application for a California physician and surgeon’s certificate is filed in the state of California prior to date of appointment.)
- Valid California Driver’s License preferred
- Strong knowledge and understanding of:
- Medical practice and understanding of clinical operations in the hospital and ancillary setting
- Various regulatory bodies and setting-specific requirements, including DHCS, NCQA, CMS, TJC/DNV.
- Current trends in health care and clinical operations
- Administrative practices and procedures including but not limited to quality assessment and improvement, care coordination, utilization review, peer review, credentialing and risk management
- Rules regulations, policies, and standards related to managed care
- Principles of effective supervision and organization
- Methods, techniques, practices, principles, and literature in the broad field of medical sciences
- Overview of the highly specialized techniques, procedures, and equipment used in the medical or surgical specialties
- Excellent Word, Excel, and PowerPoint skills. Superb communication skills, including oral and written presentation. Strong leadership skills
- Proven ability to:
- Communicate difficult concepts in a concise, elegant, and effective ways to key stakeholders, including providers, to reach consensus
- Be a team player with an ability to build trust with internal and external stakeholders
- Educate and train
- Be compassionate
Pay Range
- $246,355.20 USD Annually - $344,905.60 USD Annually
Salary : $246,355 - $344,906