Optum Hiring for Associate Medical Director – Nashville, TN at Nashville, TN Full Time

The Associate Medical Director (AMD) provides direct and indirect medical care and population health management to patients served by Landmark Health. The AMD reports directly to the Market Medical Director and provides clinical and operational oversight to a team of physicians and advanced level practitioners assigned to them. The AMD also acts as a leader for the zone’s interdisciplinary team accountable for serving a patient population and/or geography within a Landmark market.

The AMD directs and helps build the capacity of a team of providers in a zone to manage a population of complex patients, and is responsible for achieving clinical outcomes, optimizing utilization/costs, and ensuring high patient satisfaction within that zone. This position is 60% direct and indirect patient care and 40% administrative.

Primary Responsibilities:

Direct & Indirect Patient Care

• Provide medical care to a panel of patients of the highest complexity
• Transition high acuity patients back to longitudinal providers as patients’ condition improves
• Act as a consultative physician focused on stabilizing the frailest and most vulnerable patients within the population.
• Complete comprehensive chart reviews and ride alongs of providers in their respective zone in order to ensure high quality care of patients
• Participate in the market on call schedule and provide telephonic on-call coverage that require telephonic triage based on market needs
• Support advanced level practitioners with in-person or telephonic clinical consultations
• Provide Real Time supervision of Urgentivist Extenders (paramedics or RNs/LPNs/LVNs) as needed
• Review reports and data to improve population health for patients within their zone and patient panel
• Provide clinical leadership, oversee quality and execute clinical operations within a defined zone
• Oversee the application of specific measurements of quality and ensure that all providers consistently meet thresholds
• Remain current in the knowledge of geriatrics, utilization management, quality management, managed care principals and new clinical developments and technologies
• Participate in the continuous assessment and improvement of the quality of care provided to members
• At the direction of the Market Medical Director participate in the resolution of medically related grievances

Team Performance Management

• Supervise POD leaders and advanced practice practitioners directly reporting to AMD, including conducting regular 1:1s, proactively providing performance feedback, reviews and mentorship, overseeing provider education, in-service training, and orientation
• Support the Market Medical Director in recruiting advanced practice practitioners and physicians in their zone, ensuring the pursuit of talent with the appropriate mix of clinical skills and behavioral qualities to retain a high performing team
• Proactive ownership for zone’s performance against key clinical and operational performance metrics
• Ownership of onboarding support and clinical education to providers in the zone
• Assist with creating, publishing and participating in the call schedule, approving PTO and other administrative activities

Interdisciplinary Team Leadership

• Lead and participate in interdisciplinary team meetings, including case reviews that engage the full team, teaching on relevant clinical topics, and training on new protocols and workflows
• Participate in provider and physician meetings
• Join daily huddle with a focused team of interdisciplinary staff Health Plan & Community Relations
• Assist Market Medical Director in enhancing community relationships with targeted and local hospitals, PCPs, community acute care, SNF, LTC and ALF facilities in the market
• Act as a local leader and advocate for the Landmark model with community providers and delivery systems and other community partners or potential business partners
• Serve as an advocate for the team with community providers when escalation is necessary and ensure appropriate resolution

Strategy & Standardization

• Support implementation of centrally led initiatives and develop market-led improvement initiatives Other
• Support Market Medical Director when not available for meetings within and outside of Landmark
• Participate actively in all Peer Review activities
• Other duties as assigned by the Market Medical Director

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Physician currently licensed to practice without restriction in the state of practice and has met or exceeded all the credentialing requirements of a provider within the provider panel
• Board Certified in Internal Medicine, Geriatrics sub-specialty, Emergency or Family Practice
• Experience in leading teams of physicians and mid-level providers in delivering high-quality, cost-effective care
• Experience in recruiting and hiring medical talent along with continuous supervision of the medical care delivered
• Experience in coaching members of the health care team to provide excellent care or, if needed, determine deficiencies in care and formulate a plan for improvement
• Current in the knowledge of geriatrics, utilization management, quality management, managed care principals and new clinical developments and technologies
• Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Landmark Motor Vehicle Safety Policy
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

• Proven ability to analyze staffing needs sufficient to care for the patient panel