Physician Lead - Primary Care Clinical Operations

The Villages Health•The Villages, FL

1d•Hybrid

About The Position

The Physician Lead of Primary Care Clinical Operations functions as a dyad partner to the Director of Primary Care Operations. The Physician Lead will facilitate the development and implementation of operational programs and initiatives for CenterWell/The Villages under the direction of the Market Chief Medical Officer (CMO). In this role, the Physician Lead will participate in care management, utilization review, quality improvement, and related policy and practice initiatives. This position oversees clinical operations, quality and care management, ensuring that appropriate care levels are being administered as well as develops/oversees utilization management programs. The role also involves leading and mentoring teams, collaborating with medical staff, and staying current on regulations and guidelines. The candidate should possess good bedside manner, an empathetic and cooperative disposition, good clinical skills and fund of knowledge.

Requirements

Medical degree (MD or DO) from an accredited institution.
Board certification in a relevant specialty.
Minimum of 5 years of clinical experience, preferably in a leadership role.
Licensed to practice medicine in the state of Florida.
Good bedside manner.
Empathetic and cooperative disposition.
Good clinical skills and fund of knowledge.

Responsibilities

Identify and monitor clinical risks that could otherwise impact the organization financially or operationally, through collaboration with Care Center Medical Directors and clinical operations and under the direction of the Market CMO.
Review, support, and improve primary care clinician performance through understanding of individual care team context, effective use of data, and effective coaching to support the clinician and care teams.
Identify critical issues for high-risk patients during case reviews, in monthly clinical meetings with the Market CMO, Medical Directors, Care Center Managers, Operations, and Care Team Providers.
Spend 30% of time on direct Patient Care.
Use clinical performance dashboards and data tools to support performance analysis, outcomes focus, and targeted strategy development in collaboration with Care Center Medical Directors and Primary Care Operations.
Serve as designated Medical Director for Population Health programs.
Manage the Director of Quality and Care Management providing assessment, guidance, and leadership to ensure performance expectations are met in support of organizational goals.
Serve as clinical lead and provide clinical representation on the Quality Committee.
Work closely with Director of Quality and Care Management, Primary Care Operations, and clinical Care Teams to improve team-based key performance indicators, patient experience, clinical quality via HEDIS, meeting local and organizational goals.
Support clinical quality performance improvement in areas such as MRA, STARS, total cost of care to include prevention of unnecessary utilization through provider education and coaching.
Function as a dyad partner with the Director of Primary Care Operations.
Maintain regular communication to align performance, strategies, and team communication, ensuring unified decision making and consistent messaging for cohesive leadership.
Work together toward common goals that support the mission, vision, and values and overall patient experience outcomes.
Conduct regularly scheduled one-on-one meetings with direct reports to review overall performance and discuss any concerns and/or new ideas/opportunities for performance or operational improvements.
Conduct annual performance evaluations for all direct reports.
Complete other duties as assigned by the Market Chief Medical Officer.