Market Medical Director- North Carolina Based

Job Description:

About the Role

The VP, Market Medical Practice (VPMMP)/Market Medical Director leads and provides clinical oversight to all clinical staff within the applicable market. The VPMMP/Market Medical Director works in partnership with the Market Vice President (MVP) to manage and execute on market goals including but not limited to, clinical operations, Total Cost of Care (TCOC), care model opex, and service performance goals at the market and partner level for a defined set of contracts.
The Market Dyad (VPMMP + MVP) plays a critical role leading local teams and partnering with centralized functions to deploy, enhance, and maximize the strategic reach of Cityblock’s care model. In addition, the VP, Market Medical Practice will engage and work closely with senior leaders and executives across the organization in the operational, clinical, and strategic growth/business development spaces.
This role leads with passion for high quality, value-based care, operates and manages a large distributed workforce in a matrixed environment, and leads by example, with empathy, and positive influence to support the continuous improvements of our clinical care services.

* Must Live and be licensed in North Carolina as this role will include some travel throughout the state as needed

Monday-Friday: 8am-5pm

Competitive Salary and benefit package

Responsibilities:

Strategy

• Together with the Market Vice President and other internal stakeholders, define a strategy and market goals that advance contract and company results. More specifically, the VP, Market Medical Practice will participate in the planning and execution of the Market Operating Plans and Medical Savings Plans.
• Develop and implement cost of care and quality initiatives based on segmentation and other population health drivers and partner with your local care teams to further evaluate and iterate initiatives to support high quality member care, for both consented and pre-consented members
• Partner with Cityblock’s Data and Analytics teams to understand and map solutions to address drivers of utilization and translate this information to local care teams for iteration of potential data-driven solutions.
• Lead clinical quality improvement initiatives that may span multiple locations and that focus on HEDIS, contracted or other determined clinical quality metrics, in partnership with Cityblock’s Quality team.
• Control total cost of care by implementing the Cityblock Care Model, with a focus on decreasing unnecessary hospitalizations, emergency room visits, and speciality referrals.

Clinical Care and Oversight

• Collaborate with Clinical Staff Affairs to manage provider licensing, credentialing and ongoing competency requirements in order to assure market providers are adequately privileged for clinical care.
• Manage market patient safety efforts and clinical risk management, achieving practice-level and individual patient quality outcomes, in partnership with Cityblock’s Member Safety team.
• Participate in the delivery of educational content around complex care delivery including geriatrics, palliative care, chronic disease management, social determinants of health, and integration of primary and behavioral health needs, across the entire care team including non-clinical staff.
• Provide clinical care to an appropriate panel of members with complex needs, with an emphasis on chronic disease management, primary behavioral health, primary palliative care and substance use disorder diagnosis and treatment.
• Work a full-time week and be prepared to join the Cityblock on-call schedule as needed. You may be expected to participate in a Saturday Rotation based on your market’s schedule. You may need to work outside of regular business hours to execute on the market’s clinical or business needs.
• Meet evolving monthly and quarterly targets for visits with Cityblock members, in both clinic and home setting.
• Foster clinical mentorship, support and engagement with market providers to minimize voluntary attrition.
• Ensure clinical cases of providers consistently meet evidence-based standards for complex primary care.
• Attend case conferences periodically as best fits the clinical/supervisory needs of the market to advise on clinical needs for presented members and establish goals as part of members' care plans.

Partner and network management

• Attend external meetings and activities to further the business goals of the organization.
• Establish and maintain network relationships in order to achieve clinical and operational goals through partnership and collaborative planning.

Operations

• Collaborate with the Market and Hub Operations teams to develop, implement, and monitor clinical workflows