Medical Director/Primary Care Physician

Job Description

Job Description

General Summary of Duties: The Medical Director will lead and oversee our healthcare organization’s clinical operations and plays a crucial role in ensuring the delivery of high-quality patient care within the Company’s value-based care model ACO programs. This position will also chair the Physician Advisory Board and work with management in recommending medical policies and patient care policies. The Medical Director will serve as a member of the senior leadership team and works collaboratively ensuring clinical operations are integrated and align with the Company’s strategic goals and business objectives. This position will start initially in a dual role working in a clinical part-time role in one of Med First’s clinics and part time in the Medical Director Role. As Med First continues to grow, this role will be expanded to a full-time Medical Director position.

Reside or plan to relocate to North Carolina, to an area with a Med First clinic location. This role is remote and in one of Med First's Clinics, 2 days a week.

Administrative Responsibilities:

• Provide clinical leadership and oversight to ensure the delivery of excellent clinical services.
• Utilize specialized knowledge to guide and support the clinical team in providing comprehensive care – with special attention to Quality metrics, value based care and working closely with the Quality Director and department.
• Works to ensure that ACO quality gaps and shared savings objectives are being achieved at the clinic level
• Developing and amending medical policies - ensure effective education and communication of all policies and procedures to current and new providers
• Working closely with the Directors of Operations, advise on medical/clinical issues, supervision of Advanced Practice Providers, development of operational policies and procedures, respond to patient concerns, complaints or incidents, assist with interviewing and selection of provider candidates.
• Ensures that clinical operating metrics are being adhered to and achieved within the clinic level.
• Attend monthly Compliance Committee meetings, lead Physician Advisory Board, monthly review of provider charts, ensure operational/clinical protocols align with financial and compliance guidelines.
• In conjunction with senior management and the Physician Advisory Committee, he / she will recommend potential corrective action towards medical providers who perform outside of the Company’s regulatory compliance or clinical policies.
• Work with the Company’s ACO partners alongside Med First administrative teams to ensure that Med First is meeting all requirements in all ACO requirements.

Clinical Responsibilities

• Provides and manages direct medical care, including physical examinations, evaluations, assessments, diagnoses, and treatment for a specified patient population within a primary care / family medicine environment.
• Prescribes pharmaceuticals, other medications, and treatment regimens as appropriate to assessed medical conditions.
• Manages the continuum of care models and refers patients to specialists and to relevant patient care components as appropriate.
• Manages quality of care initiatives under a “value-based” reimbursement (ACO) model
• Provides coordinated care services when applicable.
• Periodically manages the daily operations of a specific medical clinic,
• Responsible for adhering to all Medical Standard Operating Procedures
• Completes patient visit documentation / charts in a timely manner.
• Ensures complete adherence to all regulatory compliance protocols within a medical billing environment.
• Directs and coordinates the patient care activities of clinic medical support staff as required.
• Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.
• As appropriate to the position, participates in specified health promotion, education and/or prevention programs.
• Provides leadership that aids in the growth and development of certain assigned clinic(s)
• Ensures that his / her assigned clinic maintains strong patient satisfaction reviews.
• Will have some selective APP supervision responsibilities.
• Other responsibilities as assigned.

Education :

• Federal DEA Certification
• Medical Specialty License or Certification
• Board certified or Board Eligible in Specified Area of Medical Specialty

Experience:

• Medical Doctor (physician) with 5 to 7 years of directly related experience within primary care, internal medicine, or family practice clinical environment.
• Experience working within an ACO “value-based” reimbursement / shared savings environment.
• Understanding of ACO quality initiatives and having quality management experience would be a significant plus

Knowledge, Skills and Abilities Required:

• Ability to observe, assess, and record symptoms, reactions, and progress.
• Has knowledge and understanding of value-based reimbursement programs including quality gap initiatives
• Knowledge of legal and ethical standards for the delivery of medical care.
• Knowledge of relevant drugs and non-pharmaceutical patient care aids and ability to prescribe dosages and instruct patients in correct usage.
• Ability to maintain quality, safety, and/or infection control standards.
• Knowledge of community medical diagnostic and patient care services in area of medical expertise.
• Knowledge of related accreditation and certification requirements.
• Knowledge of current principles, methods, and procedures for the delivery of medical evaluation, diagnosis, and treatment in area of expertise.
• Ability to work both independently and in a team environment.
• Effective verbal and written communication skills.
• Ability to supervise, advise, and train clinical professionals and/or students in area of expertise.
• Has the ability to manage efficient patient workflow within a hybrid clinic environment (Primary & Urgent Care patients)
• Has a solid understanding of EMR systems as well as updated E&M documentation requirements.
• Ability to develop and present educational programs and/or workshops.
• Has some understanding of clinical financial performance KPI (Key Performance Indicators)
• Manages patient workflow in order to accommodate walk-in patients as needed.

Work Environment : Works closely with employees and patients within the clinic, and operations/administrative staff either via phone, email, text or in person.

Physical Work Requirements/Demands:

• Sitting and standing for long periods of time, occasional crouching, kneeling, or bending throughout the day.
• Speak clearly so listeners can understand/understand speech of another person.
• See details of objects that are less than a few feet away or at several feet.
• Hear sounds and recognize difference between them, focus on one source of sound and ignore others.
• Use fingers to grasp, move or assemble very small objects; hold the arm and hand in one position or hold the hand steady while moving the arm; use one or two hands to grasp, move or assemble objects.
• Make quick, precise adjustments to machine controls.

HEALTHCARE COMPLIANCE PROGRAM: All positions within Med First and RMS Healthcare are expected to fully understand Med First/RMS Compliance policies and procedures. Employees are provided training upon hire annually and regularly notified of changes as needed. It is expected that all employees will report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources, or the Compliance Officer.