- Specialty: Quality and Population Health
- Schedule: 1.0 FTE, Monday - Friday
- Call Schedule: There is no on call responsibility.
- Practice Detail: They will work collaboratively with physicians, system and regional leadership, hospital leadership teams, and staff to ensure our medical group meets its goals and objectives.
- EMR System: EPIC
- Facility: Ascension Wisconsin Market
- Location: Glendale, WI
Plan and direct medical policies and programs. Define and achieve financial targets in support of business goals; evaluate organizational functions and structure to best determine the allocation and utilization of services.
- Facilitate strategic clinical relationships with physicians. Work with leadership to develop a strategic plan for growth of clinical practice.
- Ensure that clinical programs are in compliance with governmental and regulatory requirements.
- Implement utilization review and quality improvement systems. Implement educational programs and offerings.
- May provide medical services to patients in an assigned area.
- Prepare annual operating budget for assigned service areas.
- Consult with planning and operations leadership in new program development. Supervise any assigned medical/resident programs.
- The position reports directly to the CMO of AMG WI and will partner with their operations dyad partner.
The Medical Director of Quality and Population Health will have the responsibility for planning, directing, and coordinating initiatives around:
- Quality & Safety in alignment with Ascension WI CMO
- Service & Satisfaction
- Operational Excellence
- Growth
- Continuum of Care development
- Branding and Marketing
- Physician Network Development
Experience / Knowledge / Skills:
- 5-10 years of progressive leadership experience in population health management as well as quality.
- Excellent physician relations skills and proven experience growing service line volume in a multi-facility health system.
- Skills in relationship development and collaboration across a matrix environment to establish a shared vision and strategy for quality and population health.
- Proven effective and innovative business development expertise, experience, and skills gained within an organization known for leading-edge program development in an organization committed to care excellence.
- Entrepreneurial mindset geared toward the creation, execution and continuous improvement of a new care management model from the ground up.
- A strong customer focus.
- The ability to develop short and long-term goals and plans; program evaluation; and budget preparation and ensures the services and programs are provided by the department to achieve quality standards.
- Demonstrated ability to analyze market research data designed to provide relevant information for decision-making and strategic planning.
- Excellent communication skills- written, verbal, presentation, listening- and the confidence to represent the organization in both formal and informal settings.
- A leadership style which emphasizes personal accountability and visibility within the system and within the community.
- A firm commitment to an understanding of delivering high quality healthcare services with an unparalleled commitment to customer service as a necessary component for success.
- Ability to build an organizational culture which embraces compassion, accountability, respect, and excellence to support achieving the quadruple aim of the organization.
- Knowledge of population health operations in managed care, including quality management, outcomes, provider network, claims, financial management, care management policies, disease state and population management, members’ rights and responsibilities, and the ability to quickly understand and assess program compliance.
The ideal candidate will be a clinical leader and content expert in quality measures, population health operations, case and population management, and experience working with a clinically integrated network and ACO. The candidate must exhibit strong team leadership, project management and organizational skills, as well as credibility with clinicians and medical group leadership. They will provide strategic clinical oversight of all value-based agreements in the Wisconsin market.
Works with key members of the population health management team on the ongoing development and implementation of operational processes, strategic initiatives, policies and procedures used in delivery of care management services, as well as the ongoing integrated population analytics to manage and drive care management and other PHM workflows.
Focus on the ongoing management and outcomes driven performance improvement of the population health initiatives/programs in conjunction with the operations dyad director and other clinical teams. The dyad team is responsible for developing and implementing multi-disciplinary performance improvement teams that focus on identifying root causes to lagging performance metrics and then identifying, prioritizing, and implementing solutions aimed at improving program outcomes.
Focus on resolving staff issues, completing performance reviews, assisting in the development, implementation and monitoring of quality and compliance activities, reviewing and revising department standards and policies, and coordinating the orientation of new employees to the department. Will continuously work at identifying gaps in staff education and work with staff to close gaps.
Licensure / Certification / Registration:
- One or more of the following required:
- Physician MD/DO credentialed from the Wisconsin Medical Examining Board obtained prior to hire date or job transfer date.
Education:
- Doctor of Medicine (MD) or Doctor of Osteopathy (DO)
- Maintaining some clinical practice (10% - 30%) preferred.
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