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Medical Director - Provider Analytics
NPAworldwide Recruitment Network
NPAworldwide Recruitment Network
 
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Job Location: New York, NY
JOB DESCRIPTION

Job #: 6140
Title: Medical Director - Provider Analytics
Job Location: New York City, New York - United States
Employment Type:
Salary: $130,000.00 - $150,000.00 - US Dollars - Yearly
Other Compensation: 401, vacation, PTO, API
Employer Will Recruit From: Regional
Nj,NY,CT,MA,DC
Relocation Paid?: NO

WHY IS THIS A GREAT OPPORTUNITY?

The position will ideally be filled in the NYC Metro area but work at home from another location within the US may be considered with 25% travel to NYC.

The position will be 20 hrs/week.

Opportunity to serve as the National Medical Director for Provider Analytics within a Fortune 50 MCO.

JOB DESCRIPTION

Will be responsible for:

Leading the strategic design of provider analytics/reporting products by providing insights on managing and optimizing network performance in the areas of cost, quality and outcomes Influencing product strategy and medical management approaches that positively impact health care quality, cost, and outcomes.

Enhancing effectiveness of population management and cost of care tools offered to providers as part of transparency and/or value based programs Identifying potential opportunities for practices to improve outcomes, reduce variation in care and limit potentially avoidable complications.

Primary duties may include, but are not limited to: Monitors competitor products and internal provider performance reporting capabilities and responds with recommended enhancements Contributes to development of medical management, cost of care and provider collaboration strategies.

Responsible for consistent adoption and implementation of practice performance improvement plans.

Provides clinical expertise on attribution methodologies, episode bundle payment definitions, and provider performance measurement.

Provides clinical leadership in cost of care planning, provider engagement opportunities and participates in the practice-level performance planning.

Collaborates with provider enablement and provider network leaders to refine and improve provider education and care delivery transformation strategies.

Assures the clinical relevance and actionability of provider reporting and variation in care insights. Communicates variation in care trends and recommends clinical responses to provider practices and/or organizations.

Contributes to efforts in establishing effective physician and hospital quality and cost profiling and education.

Contributes to improved provider relationships and national associations and societies (i.e., AMA, Coalition of Specialty Societies)Represents company at nationally recognized speaking engagements to promote analytic products" provider profiling", "variation in care"

QUALIFICATIONS

12 years of healthcare experience with extensive managed care knowledge; or any combination of education and experience, which would provide an equivalent background.

Requires current unrestricted medical licensure in applicable state(s). ABMS recognized Board certification required.

Requires experience with population health management, healthcare data analytics and industry standard groupers and/or risk adjustment software (e.g., ETG, PEG, MEG, Promethius, Cave, DxCG).

Knowledge of leading competitive product offerings in the healthcare industry and marketplace standards required. Must possess excellent communication skills and be comfortable presenting to senior management and leaders of provider organizations.

Education:
University - MD




How to Apply:


 
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