Medical Director (MD)

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Location: Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California

We have an opportunity to join the Alliance as a Medical Director (MD)

This position is a hybrid role with the expectation to work in our service area 1-2 days per week and from a remote office the remaining 3-4 days per week.

YOU'LL BE RESPONSIBLE FOR

Reporting to the Chief Medical Officer, this position:

•  Provides clinical leadership within one or more of the Health Services functional areas, such as Utilization Management, Quality Improvement and Population Health, Pharmacy, Care Management, and Enhanced Health Services
• Develops and improves relationships with internal and external stakeholders, including the professional medical community, and maintains and enhances communications with similar Health Plan organizations
• Participates in all aspects of regulatory compliance related to Health Services functions

THE IDEAL CANDIDATE 

• Enjoys a fast-paced, demanding environment that requires critical thinking to develop and implement effective solutions in a timely manner  

• Is dedicated to caring for Medicaid patients while addressing the social determinants of health 

• Works with a broad and diverse group of stakeholders to problem solve and build cutting-edge programs implementing the vision of CalAIM 

• Has the latitude to think broadly, make operational and strategic decisions, and oversee the implementation and continuous process improvement related to key internal and external priorities 

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here. 

• Knowledge of:
  • Methods of designing, operationalizing, evaluating, and iterating workflows and programs
  • Data collection and management practices, as related to utilization and quality of medical care
  • Principles and practices of program development and project management
• Ability to:
  • Independently navigate complex systems in order to effectively and efficiently implement new programs in a timely manner
  • Communicate clearly and consistently and work collaboratively with stakeholders and partners, such as patients, community-based organizations, and healthcare providers
  • Resolve complex problems with creativity and resourcefulness
  • Demonstrate sensitivity, empathy and understanding to a culturally diverse member population
  • Evaluate, qualitatively and quantitatively, a broad variety of programs and processes and use these evaluations to ensure ongoing quality improvement
  • Develop, plan, organize and direct programs and activities that are complex in nature and regional in scope
  • Manage multiple projects simultaneously, organize work, and achieve goals and timelines
  • Foster effective working relationships, influence others and build consensus with individuals at all levels in the organization
• Education and Experience:
  • Doctor of Medicine, current license to practice medicine issued by the State of California, Board certification in a specialty recognized by the American Board of Medical Specialties
  • A minimum of three years of experience working in medical programs administration, including experience with the peer review process; or an equivalent combination of education and experience may be qualifying

OTHER INFORMATION

• We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

The full compensation range for this position is listed by location below. 

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

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