Medical Director (Los Angeles)

SCAN Health Insurance • Los Angeles, CA

2d • $255,000 - $367,025 • Remote

About The Position

With a focus on delivering comprehensive, high quality person-centered care across the health care continuum, the Medical Director will provide clinical leadership and oversight of program team members and serve as an active medical provider. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively supports the achievement of SCAN’s Vision and Goals. Other duties as assigned.

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.
• 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.

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. Use 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.
• Work cross-functionally with other leaders to design, lead, and implement strategic initiatives to improve clinical, financial, and operational performance.
• 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 to 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.

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