Medical Director (Pima County)

SCAN Health Plan • Tucson, AZ

7d • Remote

About The Position

The Medical Director will provide clinical leadership and oversight of program team members and serve as an active medical provider, with a focus on delivering comprehensive, high-quality, person-centered care across the healthcare continuum. The role involves managing a multi-disciplinary team, tracking clinical performance metrics, participating in community stakeholder meetings, and providing education on geriatrics, complex care, and palliative care. The Medical Director will also provide primary medical care services to patients in their place of residence, collaborate with interdisciplinary teams for complex patient management, and participate in a telephonic on-call program. Maintaining accurate electronic medical records (EMRs) and adhering to regulatory requirements, coding standards, and quality measures are also key responsibilities. The company is seeking individuals who are curious about AI and its potential to transform operations and member services, and who actively support SCAN's vision and goals.

Requirements

• Doctoral Degree M.D. required.
• Unrestricted State Medical License required.
• Geriatrics/Palliative care experience
• 5+ years of related experience as a physician, preferably with home-based visits, geriatrics, chronic disease management, and hospice and/or palliative care.
• Experience with virtual care/telehealth preferred.
• Knowledge of the treatment of complex chronic diseases, such as dementia, diabetes, heart failure, and COPD.
• Ability to identify team needs and coordinate with other resources/programs appropriately.
• Knowledge of HCC and ICD-10 coding and documentation.
• Knowledge of wound care and management.
• Knowledge of CMS guidelines and Medicare Advantage Managed Care.
• Comfortable with initiating goals of care and end of life discussions.
• Strong interpersonal skills and change agent mindset needed to build relationships with healthcare team and patients.
• Cultural competence and sensitivity required, multilingual skills preferred.
• Knowledge of and ability to maintain HIPAA requirements.
• Adaptable and open to change and problem-solving.
• Knowledge of and/or ability to learn basic technological skills (Word, Excel, PowerPoint, Outlook, EMR) and open to new technology.

Nice To Haves

• Experience with virtual care/telehealth preferred.
• multilingual skills preferred.

Responsibilities

• Directly manage a multi-disciplinary team of nurse practitioners and physicians to ensure coordinated and high-quality care delivery.
• Track and analyze clinical performance metrics related to health outcomes and utilization rates, using this data to identify areas for improvement and implement strategies to enhance overall care quality.
• Participate in community stakeholder meetings and address any issues related to care provided to their residents.
• Provide education and guidance to other clinical team members related to geriatrics, complex care, and palliative care.
• Actively participate in provider meetings and quality improvement initiatives aimed at improving patient outcomes.
• Provide primary medical care services to patients residing in their place of residence.
• Collaborate with program nurse practitioners and other interdisciplinary team members to manage complex patients by conducting in-person and virtual patient rounds in tandem with other team members.
• Participate in a telephonic on-call program to support team members after hours and weekends.
• Provide immediate support to team members for urgent care needs for members such as change in medical condition or goals of care discussions.
• Maintain accurate and up-to-date electronic medical records (EMRs) and other relevant documentation.
• Adhere to regulatory requirements, and coding/documentation standards, guidelines, and quality measures set forth by Medicare and other relevant authorities.
• Actively supports the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Benefits

• Base salary range: $255,000.00 to $367,025.00 annually
• Quarterly bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match and contribution
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

What This Job Offers

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