Medical Director

CommonSpirit Health • Bakersfield, CA

83d • Remote

About The Position

The Medical Director is responsible for overseeing the development, implementation, and continuous improvement of clinical strategy across the Value Hub. They serve a pivotal role that requires a deep understanding of clinical operations, healthcare management, and collaborative leadership. The Medical Director works closely with network participants to ensure that care delivery and clinical operations meet the highest standards of quality, efficiency, and patient satisfaction. They provide strategic oversight to the Value Hub Operations and serve a leadership role in Value Hub governance. They are critical in driving CommonSpirit's Population Health strategy and growing Value Based Care in the region.

Requirements

• 5 years of clinical practice.
• 5-7 years of experience in provider network, clinical or hospital setting.
• Medical degree (MD or DO) from an accredited institution.
• Current MD/DO license to practice medicine within the State of California; Board Certification in a relevant specialty.
• Experience in building and maintaining physician relationships and partnerships.
• A deep understanding of the health industry.
• Strong communication skills.

Nice To Haves

• Experience in value-based care and/or population health strongly preferred.
• Payer relationship experience preferred.
• CMS knowledge preferred.

Responsibilities

• Participates as an active leader of the Regional Value Hub leadership team.
• Drives strategic alignment across the Regional Value Hub, with CommonSpirit Health's Population Health strategy and Value Based Care goals.
• Serves as clinical advisor and leader in interactions with health plans, employers, and network participating providers.
• Provides direct oversight to other market or regional Medical Directors in the Value Hub.
• Leads the development and execution of clinical strategies and initiatives to improve patient care and operational efficiency.
• Fosters strong relationships with both employed and independent providers to ensure ongoing collaboration and alignment.
• Serves as the chair of the Value Hub Governance Committee, organizing leaders within the region to provide oversight, decision-making, and standardization for strategy and operations.
• Guides and supports network operations professionals, fostering a culture of continuous improvement and innovation.
• Provides clinical and strategic guidance to operational teams as directed in activities according to the needs, requirements, and policies of the local markets, the affiliated medical groups and health plans, CommonSpirit Health, any Federal and State agencies.
• Works closely with all departments along the care continuum and service providers to enhance the patient experience through the health care system.
• Keeps the organization's mission, vision and values at the forefront of associate decision-making and action.
• Interacts with others in a way that gives them confidence in one's intentions and those of the organization.
• Demonstrates breadth and/or depth of professional/technical skills and capabilities required for position; shares knowledge; sets or contributes to CommonSpirit Health's direction within area of expertise.
• Collaboratively problem-solve with medical staff, Practice Managers, Directors, and other regional Medical Directors.
• Facilitates effective communication between staff and leadership to ensure alignment and address concerns.
• Leads clinical strategy and initiatives in partnership with the National PHSO, interacting with Value Hub operations, practice managers, and the market providers to promote clinical excellence and operational efficiency.
• Supports development and implementation of quality improvement initiatives, providing education and engagement with Physicians, to drive performance and outcomes.
• Oversees and mitigates issues with physician performance, including patient satisfaction, performance management, and behavioral refinement.
• Addresses escalated provider or patient complaints.
• Collaborates with network providers to develop and implement strategies for improving patient outcomes and reducing variability in care.
• Builds strong relationships to increase participation and partnership with independent physicians.
• Collaborates with legal and compliance teams to address regulatory and compliance issues as needed.
• Serves as a clinical advisor and participates in strategic planning for the networks, focused on enhancing performance, identifying growth opportunities, providing the clinical perspective on new contractual arrangements as needed.
• Supports major initiatives (e.g., platform implementations, strategic transformations) as the clinical advisor for the Regional Value Hub.
• Partners with PHSO Quality and Risk team and Value Hub leadership to formulate and implement strategies for achieving applicable metrics.
• Advises on department performance including: setting goals, monitoring performance progress, providing feedback, recognizing and addressing performance issues.
• Ensures that the patient and provider perspectives are a driving force behind department actions and business decisions; constructing and implementing service practices that meet patients'/customers and own organization's needs.
• Supports for accreditation surveys using the appropriate standards of performance.
• Ensures compliance with DMHC/CMS/NCQA/state/local healthcare related laws, regulations and accreditation standards.
• Serves on teams engaged in the development and updating of policies, procedures, workflows, tools and action plans recommends, implements and evaluates new/revised standards, policies, procedures, guidelines to ensure consistency with the philosophy/values of the organization and compliance with applicable regulatory/accreditation requirements.

Benefits

• Competitive pay.
• Flexible Health & Welfare benefits package.
• Cafeteria-style benefit program.
• Medical, dental and vision plans for the employee and their dependents.
• Health Spending Account (HSA).
• Life Insurance and Long Term Disability.
• 401k retirement plan with a generous employer-match.
• Paid Time Off and Sick Leave.

What This Job Offers

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