Medical Director - Emergency Medicine

MedAmerica • Fresno, CA

7d • $275,000 - $900,000 • Onsite

About The Position

Vituity is seeking an Emergency Medicine Medical Director for Saint Agnes Medical Center in Fresno, California. The role leads the local practice, promotes Vituity’s purpose, mission, vision, values, culture, and strategy, and ensures providers understand and comply with organizational requirements and policies. The Medical Director develops and executes an annual practice management plan, leads the site administrative management team, and upholds hospital expectations and contract terms.

The Medical Director monitors quality and operational performance, improves processes and workflows, oversees site financial performance and budgeting, and identifies growth and revenue opportunities. The role also supports recruitment, onboarding, training, mentoring, and professional development; evaluates physician and advanced practice provider performance; and participates in contract negotiations with the Regional Director. Building effective working relationships with hospital leadership, nursing staff, other healthcare professionals, and the local community is an essential part of the position.

The practice is at Saint Agnes Medical Center, a 436-bed Level III Trauma Center with a closed ICU. The emergency department sees 18–20 encounters per day; procedures and ventilator management are not required. Specialized services include advanced interventional cardiology, cardiac surgery, and interventional radiology. Vituity Hospitalist and Emergency Department teams work in an integrated, collaborative environment.

The estimated annual base compensation is $275,000–$900,000, depending on site, specialty, clinical volume, schedule, and experience. Vituity physicians participate in a partnership model from day one, with profit distributions, equity ownership, and K-1 tax advantages; total compensation varies by site and may exceed the stated range.

Requirements

• M.D. or D.O. degree from an accredited medical school.
• Completion of residency through an accredited residency program.
• Maintain membership and privileges on the hospital’s medical staff and comply with the hospital medical staff bylaws, rules, regulations, policies, and procedures.
• Vituity Physician Partnership status.
• Five or more years of experience in a leadership role.
• Verbal and written communication skills.
• Superior clinical skills.
• Interpersonal and leadership skills.
• Ability to motivate a team.
• Project management skills.
• Ability to collaborate effectively with diverse individuals and across multiple locations.
• Relationship-building skills.
• Technical skills.
• Strong understanding of accounting and finance.

Responsibilities

• Communicate and champion Vituity’s purpose, mission, vision, values, culture of brilliance, and strategy.
• Ensure compliance with Vituity requirements and policies and communicate them to providers.
• Monitor healthcare and economic trends and assess their potential impact on the practice and local region.
• Develop and execute a comprehensive annual practice management plan with clear goals and objectives.
• Lead the local site's administrative management team, selecting members and aligning responsibilities with practice goals.
• Ensure providers adhere to Vituity policies and fiduciary obligations.
• Foster open communication and transparent decision-making, including annual reviews of administrative stipends and scheduling preferences.
• Understand hospital expectations and uphold compliance with contract terms.
• Monitor operational and quality metrics and implement initiatives and programs to improve performance.
• Assess and improve operational processes using technology and best practices to streamline workflows and increase efficiency.
• Monitor site financial performance and identify opportunities for growth and revenue.
• Understand the annual budget, financial performance measures and monitoring systems, and billing and reimbursement issues and systems.
• Improve patient census and billing practice statistics to optimize reimbursement.
• Maintain awareness of and interactions with payers, including significant IPAs, Medical Groups, Foundations, and ACOs associated with the hospital or health system.
• Recruit, onboard, and train new providers.
• Provide learning, development, and mentoring opportunities to providers and staff.
• Evaluate physicians and PA/NPs in accordance with Vituity policies and guidelines.
• Monitor physician competencies and support progressive improvement using appropriate metrics; counsel, suspend, or remove staff from the schedule when necessary and in accordance with policies and guidelines.
• Participate in contract negotiations with the Regional Director.
• Develop and maintain productive working relationships with hospital leadership, nursing staff, and other healthcare team members.
• Represent the practice through applicable hospital leadership roles and participation in hospital management, medical staff and executive committees, and the local community.

Benefits

• Comprehensive benefits package, including profit distribution.
• Health plan options.
• Dental, vision, HSA, life, and AD&D coverage.
• K-1 status pay structure with high tax deductions through the partnership model.
• 401(k) plan with tax reduction and faster balance growth.
• Eligibility for annual profit distribution/yearly cash bonus.
• Employee assistance program (EAP) and travel assistance.
• Student loan refinancing discounts.
• Partnership model including equity ownership and K-1 tax advantages.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Ph.D. or professional degree