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Medical Director, Geriatrics & Value-Based Care Performance

One Medical
UKRemotefull_timeVerifiedPosted 19 Sept 2024

About the role

About Us

One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.

In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we’re building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.

About Senior Health

One Medical Seniors is a network of primary care practices where we take the time to know our patients as true individuals, and proactively provide the care, support, and inspiration they need to live their best life. We created a high-impact relationship based care model that particularly benefits adults on Medicare and those who might need more attention. Our care model changes everything - the team, outcome-focused payment, customer service, and the technology that supports our care. Our practices offer smaller panel sizes, no billing or coding, and the opportunity to lead systemic change in health care delivery while working with a true team. One Medical Seniors wants to restore humanity to healthcare, for both patients and team members.

Medical Director, Geriatrics & Value-Based Care Performance

The Medicare Population Health Programs (MPHP) Team is seeking a full time Medical Director to join our team in a National role supporting Geriatrics and value-based care performance. The Medical Director, Geriatrics and Value-Based Care Performance will serve as a key member of the MPHP team, playing a critical role in guiding the clinical management of our patients across markets. The medical director will also be accountable for senior care performance focused on Part B programs and Population Health initiatives. This role reports to the VP and National Medical Director, MPHP. 

Key Activities:

  • Accountable for Part B performance including PMPM targets, referrals/1000, specialty program utilization, and other drivers
  • Accountable for performance around clinical programs to drive value-based care outcomes around referral patterns, integrated programs, and e-consults
  • Accountable for clinical strategy and execution around dementia care and other key geriatrics initiatives, including clinical pathway development and education
  • Collaboration with stakeholders for design and implementation of network and specialty care programs
  • Collaborate with Population Health/ Screening leader on Geriatrics screening performance and program implementation 
  • Collaborate with high risk team leaders around panel management and clinical care
  • Review utilization data to inform specialty specific strategy, direct intervention at the patient level and develop peer to peer outreach strategies.
  • Collaborate with MPHP education program leaders to refine and deploy educational material addressing PCP drivers of high value downstream care
  • Virtual consultation on complex patients
  • Direct care for patients (avg 1 day/ wk, virtual)
  • Travel to markets to meet with stakeholders and external partners (10-20%)

Qualifications:

  • Must be within commuting distance of a OM Seniors clinic with ability to visit practices and markets as needed
  • Must be a licensed physician and willing and able to complete licensing in additional markets within three to six months of being in role as requested by the program
  • Must be Board-Certified in Geriatrics, and either Internal Medicine or Family Medicine 
  • Minimum of 2 years experience with designing and implementing integrated specialty care or dementia care programs
  • Minimum of 7 years experience with direct clinical value-based care or complex primary care practice
  • Experience with team based care, excellent collaboration skills 
  • Able to teach and model Geriatrics-focused care
  • Deep understanding of value-based payment models and clinical program design
  • Comfortable with analytics, creating a business case, and presenting
  • Availability during market time zones with the main working time zone in Mountain Time. Flexibility around work schedule

Benefits designed to

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Company

One Medical

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