Medical Director - Fractional (Part time) - CA remote

Acentra Health, LLC•UNAVAILABLE, UNAVAILABLE

11d•Remote

About The Position

Acentra Health is seeking a Fractional (part-time) Medical Director to provide clinical leadership and physician oversight for the California transition-support services program for UIS (Unsatisfactory Immigration Status). This role involves establishing clinical standards, supporting safe assessment and escalation, advising on continuity of care and post-discharge needs, and offering clinical guidance to program staff. The Medical Director will collaborate with the Program Director and partners to ensure transition activities prioritize member safety, address clinically significant barriers, and align with the Medi-Cal program's approved scope of services. This position is remote within California.

Requirements

A minimum of 8+ years of clinical practice.
A minimum of 5+ years of experience as a physician executive with significant accomplishments in developing managed care strategies, integrating delivery systems, improving quality and case management programs, and coaching medical staff on healthcare business and practice issues.
MD or D.O. with current non-restricted license to practice medicine by the Medical Board of CA.
Board certification in a clinical specialty.
Flexible to travel within state of CA as needed.
Must reside in the state of CA.

Nice To Haves

Knowledge of Medi-Cal policies, practices, and processes.
Demonstrated expertise in quality and case management is a prerequisite.
A modern clinician well-versed in significant trends within healthcare and managed care.
Possesses the ability to collaborate effectively with a diverse range of personalities, exhibiting approachability, respect, and consensus-building skills.
A systems thinker with robust organizational abilities, capable of seamlessly integrating various components to ensure on-time and budget-compliant delivery.
Adaptable, with a strong collaborative management style, characterized by creative thinking, high energy, enthusiasm, and a commitment to promoting teamwork.
Demonstrates the ability to adapt to frequently changing work parameters.

Responsibilities

Evaluate, redirect, and respond to inquiries from physicians, providers, and customers.
Consult with general and specialty practitioners as needed.
Represent and promote Acentra Health in professional settings.
Foster external physician and provider relationships.
Remain current on applicable regulations and legislation.
Review medical information trends and approaches.
Provide medical expertise in developing clinical goals and policies.
Provide oversight of physician consultants and advisors.
Conduct and document peer-to-peer consultations.
Work with medical, nursing, and administrative staff on matters requiring shared attention.
Provide clinical oversight for UIS transition-support services.
Advise on clinical escalation, member safety, treatment continuity, and post-discharge support.
Provide consultation to nurses, social workers, care coordinators, and other program staff.
Support the development of clinical protocols, escalation pathways, assessments, intervention plans, and training materials.
Review clinically complex cases and advise on appropriate referrals, interventions, and follow-up.
Support coordination with DHCS, Gainwell, providers, hospitals, and community partners on clinical matters.
Monitor clinical trends, unresolved needs, failed handoffs, and potential transition-related deterioration.
Advise on clinical quality improvement and future expansion of care-management services.
Support business development, strategic planning, and expansion of related clinical services.
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.