Physician - Family Practice

Clinical Compliance Manager

Responsibilities and duties: Oversee Clinical Compliance • Ensure quality patient care and fiscal compliance by confirming that the facility/ies is in compliance with state and federal regulations. • Collaborate with the medical board to update, amend, andreplace medical policies. • Provide clinical oversight to ancillary services such as radiology, lab, pharmacy, • Represent clinical specialty in issues such as risk, HIPAA, and strategic management. Maintain Quality of Patient Care • Provide high-quality customer service to the diversity of patients. Intervene and mediate in difficult situations involving patients. • Direct a team of physicians and ensure that workforce is complying with Our Facility and LMG standards in providing care. • Create work groups and participate in leadership committees that are designed to improve patient care. Educate Medical Personnel • Maintain the professional development of other medical personnel at the facility/ies through clinical practices. • Work directly with providers to educate them on our care process and determine what can be done to improve overall care quality. Provider Engagement • Facilitate and plan the agenda for All Provider meetings, round with providers, and conduct peer mentoring to reinforce provider engagement. • Assist providers in meeting financial, coding, quality, risk, and patient satisfaction goals. • Collaborate with the clinic director or human resources on issues related to conflict resolution, disciplinary issues, recruitment and retention. • Act as the clinical ambassador for provider onboarding and departure. Healthcare System Development • Remain apprised of the needs of the healthcare system as they relate to Specialty (growth, emergency preparedness, development of new initiatives). • Work with specialty and Hospitalists group to reinforce beneficial medical group relationships. • Serve as Specialty voting member for Pharmacy and Therapeutics Committee. • Work with CMO, COO, and CFO as well as Directors and Managers to facilitate contracting and compensation. Professional Requirements Medical degree with board certification and valid license to practice medicine • 5 years of clinical medicine experience. • 3 years of medical management experience or an administrative role are preferred. • Proficient with computers, web-based programs, and electronic medical records • Knowledge of current principles, methods, and procedures for the delivery of medical evaluation, diagnosis, and treatment in the area of expertise. • Comprehensive knowledge of modern principles and techniques of general medicine and public health, as traditionally practiced. • Knowledge of legal and ethical standards for the delivery of medical care. • Knowledge of accreditation and certification requirements and standards. • Willing to travel between clinics. Additional skills and abilities • Three-dimensional, broad mind, thinking globally and applying locally in order to improve medical practice even when some tools are not always available in a good but less than perfect medical domain. • Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse ecosystem. • Effective verbal and written communication skills. • Ability to study and understand KPIs as they apply to providers. • Ability to interact with students, providers, and staff in a team environment. • Ability to supervise, advise, and train clinical professionals in areas of expertise. • Ability to develop and present educational programs and/or workshops.