North Florida Market VP/Regional Medical Director-Value Based Care (Physician )

Company: Conviva
Location: Daytona Beach
Posted on: March 19, 2023

Job Description:

Internal Medicine-Geriatrics opening in Daytona Beach, Florida. Conviva Physician Group is looking for a Managing Partner who will serve as a visible physician executive leader to add to our team in North Florida. This is the perfect opportunity for an experienced leader in the field of Value Based Senior Care. As a Conviva Managing Partner you will plan, organize, manage, and supervise health care services offered in the medical centers. Work in conjunction with the Area Medical Directors to motivate and provide medical direction in pursuit of cost effective, quality healthcare.

• Plan, organize, manage, and supervise the roles of the Center Medical Directors.
• Identify physician recruitment needs and collaborate in the hiring and contracting of providers.
• Establish work schedules and assignments for medical staff according to workload, space and equipment and center needs.
• Oversee daily operations of physician services.
• 99% Leadership, 1% limited/occasional coverage
• Build strong relationship with specialist, hospitalist, SNF and other providers to form a narrow network of quality service focused on senior population health
• Responsible for medical interpretation, reviews, and decisions as required for plan administration.
• Monitor medical performance and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective utilization practices.
• Oversee the development, revision, and implementation of policies and procedures, systems, programs, and standards for health care services.
• Represent the organization in community and marketing events.
• Develop and maintain compliance with the departmental and physician budgets.
• Assess, develop, and recommend strategies for compliance with regulatory requirements.
• Develop and maintain an effective relationship with all departments providing medical guidance and expertise.
• Develop, implement, and monitor the outcomes of utilization review and disease management programs to meet the quality and cost expectation of.
• Identify trends of over- and under-utilization and implement actions plans to improve.
• Direct and orient physicians in the correct application of approved guidelines. .
• Oversee the operations of the wellness activities and medical department.
• Guide and enforce Perfect Service Standards (Customer Service).
• Other duties as requested Conviva Physician Group, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Texas and Florida. Conviva Physician Group has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. We have experience in both the treatment and management of most chronic and acute-care conditions with the practices also providing health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.
  
  At Conviva Physician Group, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all. Required Qualifications
  • Master's Degree
  • 8 or more years of technical experience
  • 5 or more years of management experience
  • Licensure requirements of the state of jurisdiction
  • Graduate of accredited MD or DO program of accredited university
  • Prefer Internal Medicine specialty
  • Board Certification in Family Medicine, Internal Medicine, or Geriatric Medicine
  • This role is considered patient facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications
    • Knowledge of Medicaid and Medicare programs
    • Excellent oral and written communication skills
    • Good understanding of best practice coding and documentation in value-based environment Additional Information
      • Leveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results.
      • Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.
      • Accountable: You meet clearly stated expectations and take responsibility for achieving results.
      • Clinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care. Understands the medical utilization implications of such programs
      • Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.

Keywords: Conviva, Daytona Beach , North Florida Market VP/Regional Medical Director-Value Based Care (Physician ), Healthcare , Daytona Beach, Florida