Regional Medical Director

AltaMedCommerce, CA
$348,247 - $417,897Onsite

About The Position

The Regional Medical Director for PACE is responsible for the collaboration, integration, and coordination of AltaMed PACE healthcare delivery systems at the sites over which he/she presides, to ensure maximum benefits to eligible PACE participants. Additionally, this position shall be responsible for overseeing all clinical aspects of utilization management, case management, chronic disease case management, and all other areas necessary to facilitate the appropriate use of resources for senior patients and participants. The PACE Regional Medical Director must be conversant with areas of geriatric, internal medicine, and palliative care, show the ability for rapid, accurate decision-making, and enjoy care review and the investigation and resolution of complex issues. The Regional Medical Director–PACE must be a clear and compelling communicator with a demonstrated ability to motivate, guide, influence, and lead others, including the ability to translate detailed analysis and complex materials into compelling communications. The Regional Medical Director-PACE may represent AltaMed in regulatory agencies, national associations, industry clinical leadership committees, and appropriate forums.

Requirements

  • Licensed physician with a minimum of 4 years of clinical experience.
  • A minimum of 2 years of leadership experience, preferably within medical management working in a managed care environment.
  • Experience in working with Medi-Cal, Medicare, and frail elderly or senior populations, and knowledge of appropriate diagnostic reporting and HCC coding.
  • A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines.

Nice To Haves

  • Knowledge of appropriate diagnostic reporting and HCC coding.

Responsibilities

  • Collaboration, integration, and coordination of AltaMed PACE healthcare delivery systems.
  • Overseeing all clinical aspects of utilization management, case management, chronic disease case management, and all other areas necessary to facilitate the appropriate use of resources for senior patients and participants.
  • Providing general guidance to comply with and set policies for reporting to lead to high-quality and appropriate measurement of good clinical outcomes.
  • Representing AltaMed in regulatory agencies, national associations, industry clinical leadership committees, and appropriate forums.

Benefits

  • Medical, Dental and Vision insurance
  • 403(b) Retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career Advancement & Development opportunities
  • Paid Time Off & Holidays
  • Paid CME Days
  • Malpractice insurance and tail coverage
  • Tuition Reimbursement Program
  • Corporate Employee Discounts
  • Employee Referral Bonus Program
  • Pet Care Insurance
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