Medical Director - Start Immediately

We are looking to hire a focused Medical Director to join our diverse team at Better Health Group in Tampa, FL.
Growing your career as a Full Time Medical Director is a terrific opportunity to develop productive skills.
If you are strong in planning, communication and have the right initiative for the job, then apply for the position of Medical Director at Better Health Group today!

Our mission is Better Health. Our passion is helping others. What's Your Why? • Are you looking for a career opportunity that will help you grow personally and professionally? • Do you have a passion for helping others achieve Better Health? • Are you ready to join a growing team that shares your mission? Why Join Our Team: At Votion, it's our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! We don't just talk the talk - we believe in it and live by it. Our core value is always to deliver 5-star service. And by doing so, we successfully achieve our mission of Better Health. We support our providers with all the necessary tools and resources they need to deliver the care all patients deserve. Be part of a team that is rebuilding sick care into Better Health Care. We take great care of our team, patients, providers, and affiliates because together, we can achieve: Better Care. Better Outcomes. Better Health. Summary/Objective: The Medical Director is primarily involved with leading the Referral Redirection Team, the Preferred Provider Network, and meeting with Primary Care Providers to develop action plans to help improve utilization and provide better health for patients. They are accountable for actioning referrals routed to Non-Preferred Network consultants and to Outpatient Hospitals. These referrals are then steered towards generated Preferred Networks as well as appropriate Sites of Service. The Medical Director is also responsible for identifying and correcting actions of variance PCPs to improve their clinical and cost performance. Measures of success are improvements in Inpatient, Outpatient Hospital, and Professional Physician Services. Essential Functions:

• Lead the Referral Redirection Team to ensure the correct use of the Preferred Network and appropriate Site of Service.
• Conduct peer-to-peer calls to effectuate redirection of the Preferred Networks.
• Conduct office or teleconference visits for assigned variance PCPs to improve their utilization and cost performance.
• Collaborate with the Senior Manager Analytics to identify reasons for off-track PCPs.
• Participate in daily Inpatient rounds as well as weekly Skilled Nursing Facility (SNF) rounds.
• Conduct peer-to-peer calls and meetings with Hospitalists and SNFists on individual cases as off-track performance.
• Accountable for achieving Admissions/1000, Readmission %, and Outpatient/1000 goals.
• Accountable for increasing the use of the developed Preferred Networks and provide corrective actions for Non-preferred Networks users.
• Responsible for leading the referral team in processing referrals generated for specific Affiliate PCPs.
• Responsible for redirecting referrals generated for Outpatient Hospitals to more appropriate Sites of Service, such as Ambulatory Surgery Centers (ASCs) or Free-Standing Imaging Centers (FSICs).
• Lead Health Services and other assigned sections of regional meetings for both Affiliates and VIPcare.
• Support all out-of-state/territory expansion efforts and effectuate similar programs and oversight

Required Education/Experience:

• Medical Degree from an accredited medical school.
• Licensed to practice medicine in the state of Florida
• Licensure to be obtained for additional states or territories as required
• Board Certified in a specialty recognized by the American Board of Specialties (ABMS).
• 3 or more years of clinical experience.
• 3 or more years of managed care experience.
• Experience in Utilization Management and Physician Improvement Programs.
• Experience in Medicare Advantage.
• Experience in Value-Based model of care
• Experience in leadership roles and project management.
• Experience working with high-performing teams and leading organizational change efforts.
• Experience and expertise in medical cost reduction activities.
• Understanding of medical analytics and reporting.
• Provide medical knowledge to facilitate the resolution of complex issues and required decisions.
• Working knowledge of medical policy and application of criteria.
• Ability to manage multiple priorities in an expedient and decisive manner.
• Ability to manage difficult peer-to-peer situations arising from medical care reviews.
• Must possess excellent communication skills to interface with providers, team members, and health plans.
• Strong interpersonal and presentation skills.
• Appreciation of cultural diversity and sensitivity towards target populations.

Additional Eligibility and Qualifications:

• Experience with Clinical Operations and Medicare.
• Understanding of SNF, Hospitalist, and Provider Network market.
• Understanding of Healthcare Best Practices ranging from Clinical to Hospital processes and procedures.
• Understanding of the terminology, techniques, and reimbursement mechanisms employed in the delivery of healthcare including, but not limited to clinical coding (ICD-10, CPT, and DRG), medical record review, population health, and EMRs.
• Ability to use Electronic Medical Record (EMR) system to review Patient records.
• Proficiency in Medicare Risk Adjustment.
• Effective communication and interpersonal skills.
• Proficiency in Google Suite products such as Google Docs, Google Sheets etc.
• Valid Florida Driver's License.
• Proven track record of achieving results.
• Bilingual - Spanish preferred

Supervisory Responsibility:

• Responsible for the Referral Redirection Team.
• Report directly to the CMO.

Work Environment:

• This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones and fax machines.
• The Associate Medi cal Director works remotely with occasional travel to the Tampa Headquarters office.
• Occasional travel to variance Physician, Specialist, and Hospitalist locations.

Physical Demands:

• Ability to spend an extended amount of time facing a computer screen.

Position Type/ Expected Hours of Work:

• This is a full-time position and core hours of work and days are Monday to Friday 8:00 a.m. - 5:00 p.m.

• Extended hours to accommodate urgent and emergent tasks will be expected.

Travel

• Travel PRN (i.e. PCP Offices, Specialists, Hospitalists, and SNF visits).

Benefits of working as a Medical Director in Tampa, FL:

● Excellent benefits
● Company offers career progression opportunities
● Advantageous package