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Clinic Transformation Consultant

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Job Description - Clinic Transformation Consultant

MediCard Phils., Inc. is one of the country's leading HMO and the only HMO founded and run by Doctors. Since its inception, the concept of service-oriented total health care has been the molding ideal of MediCard.  The competition is vast, and the benefits being offered by the competitors are tempting.  However, MEDICard has taken the lead in providing innovative and productive ideas that cut down the cost of health maintenance without compromising its quality.

MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus the confinement.

MediCard is currently looking for assertive, dynamic and energetic individuals to fill up the following vacancy:

The Clinical Transformation Partner owns how medicine is practiced within Corporate Health. This role establishes standardized clinical pathways, governs clinical quality, and leads physician engagement across employed and third-party doctors supporting Occupational Health and corporate health services.
This role carries primary accountability for physician behavior change, ensuring doctors move beyond transactional clearance activities toward consistent, protocol-driven, prevention-oriented corporate primary care. The role also ensures that wellness, lifestyle, care navigation, and analytics-driven interventions are clinically anchored, medically defensible, and integrated into everyday practice.
The Clinical Transformation Partner works closely with operations, staffing, programs, analytics,Job Role
To define, govern, and continuously improve clinical practice across Medicard’s Corporate Health and Occupational Health services by driving physician engagement, capability uplift, and behavior change, ensuring doctors function as corporate primary care providers and key agents of preventive and population health transformation.

Key Responsibilities
Clinical Architecture and Standards
• Design, implement, and continuously refine standardized Occupational Health and corporate primary care pathways
• Embed risk stratification, early intervention, escalation logic, and preventive triggers into routine OH encounters
• Define acceptable clinical variation, documentation standards, and referral discipline
• Ensure consistent clinical decision making across clinics, on-site deployments, and third-party providers

Physician Engagement and Behavior Change
• Own physician engagement, capability development, and performance governance across Corporate Health
• Train, onboard, and continuously develop employed and third-party physicians supporting OH services
• Establish lead physician, peer review, or cluster models to scale clinical leadership
• Define expected physician behaviors aligned to corporate primary care and prevention models
• Actively address underperformance, protocol deviation, or quality concerns among physicians

Clinical Governance and Advisory
• Serve as senior clinical advisor for complex employer cases, escalation reviews, and governance discussions
• Ensure wellness and lifestyle programs are clinically triggered and aligned with approved care pathways
• Partner with Care Navigation and Analytics teams to close care gaps and strengthen follow-through
• Support regulatory, audit, and clinical safety reviews as required

Qualifications
• Licensed physician with experience in occupational health, corporate health, or primary care
• Demonstrated experience in clinical governance, pathway standardization, or population health
• Strong credibility with fellow physicians and comfort leading peer behavior change
• Ability to balance clinical rigor with operational and scalability considerations

Success Metrics
• >95% physician adherence to approved clinical protocols
• No more than 10% variation in referral patterns across physicians for comparable case profiles
• >90% positive client feedback related to physician quality and professionalism
• >80% of lifestyle, preventive, or care management interventions initiated through clinical triggers
• Measurable reduction in repeat OH findings without intervention over time

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.

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