Medical Director

Company: Unity Health Network, LLC
Location: Cuyahoga Falls
Posted on: June 6, 2021

Job Description:

The Medical Director is responsible for defining, planning, assessing, monitoring and improving the providers clinical quality and utilization outcomes for the IPA within the State of Ohio, known as Optum Care Network of Ohio (OCN-OH). Responsible to ensure all efforts to improve the quality of health services for the network meet evidenced based standards of care as well as payers and governmental quality standards. The MD major focus is to work with the payers and providers to implement clinical initiatives, with the tools and resources within OCN-OH. The MD will support OCN-OH ongoing operations strategy to include delegation of claims management, implementation of care management tools and resources, geographic expansion, and provider education on related risk-based initiatives. The MD is also responsible for mentoring all assigned Lead Physicians and Market Medical Directors in their leadership development. Leadership of OCN-OH includes working collaboratively with management of the IPA to achieve improved performance on the elements of the triple aim consisting of total cost of care management, quality outcomes, and patient experience for our customers; employers and patients. Education Doctor of Medicine (MD) or Doctor of Osteopathy (DO). Current board certifications with active and unrestricted medical license in State of Ohio. Knowledge and Experience Five (5) years or more of clinical experience required. Two or more years of population health or managed care experience preferred. Must demonstrate a broad understanding of quality improvement, risk management, utilization review, and clinical outcomes management. Deep understanding of IPAs, Clinically Integrated Networks, Medicare Shared Savings Programs, capitation/value-based contracting, and narrow networks. Experience with private and employed physician models and care redesign including care management and patient care.

Keywords: Unity Health Network, LLC, Cuyahoga Falls , Medical Director, Other , Cuyahoga Falls, Ohio