Associate Regional Medical Officer

Alignment Healthcare USA, LLC in; Modesto (CA); On-site; USD 262,000 - 393,000; Full time

Job summary

Alignment Health in Modesto, CA is seeking an Associate Regional Medical Officer to lead clinical operations for the Care as a Service (CAAS) offering and to drive the growth of this model. You will partner with the Regional Director to execute performance-based medical management, manage budgets and risk, analyze data for customers and the Board, and oversee hospital, clinic, and SNF care plans.

Strong leadership, board-level communication, and a US-trained MD/DO with Internal or Family

Qualifications

• MD or DO with residency in Internal or Family Medicine.
• Board certified or eligible.
• Medical license in the state applying; DEA license.
• 2-3 years hospitalist/family practice/internist experience preferred; administrative exp.
• Managed care experience and UM/QM process understanding preferred.

Responsibilities

• Provide strategic and operational direction for performance based medical management.
• Manage budget and risk drivers.
• Analyze and report business performance data to customers, senior management, and the Board.
• Participate in management of all clinical divisions within the region.
• Engage in analysis of local profit and loss performance.
• Develop and maintain provider relationships.
• Oversee clinical duties by Extensivists including hospital, care center, SNF.
• Create comprehensive and coordinated care plans across settings.

Skills

Hospitalist experience

Family Medicine

Internist experience

Administrative experience

Managed care experience

UM/QM process understanding

Data analysis (financial/clinical)

Leadership/management interest

Education

MD or DO

Internal Medicine or Family Medicine Residency

US residency completion

Board Certification

Medical license in applying state

DEA license

Job description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Associate Regional Medical Officer is responsible for the clinical operations and clinical financial outcomes for Care as a Service (CAAS) offering. He or she will do this by maintaining and further improving Alignment’s clinical model. The Associate Regional Medical Officer will partner with the Regional Director and together they will lead the start-up and champion the growth of this offering.

General Duties/Responsibilities

• Provide strategic and operational direction for the delivery of performance based medical management.
• Manage budget and risk drivers.
• Analyze and report business performance data to customers, senior management, and the Board of Directors.
• Participate in the management of all the clinical divisions within the region.
• Engage in the analysis of local profit and loss performance.
• Work seamlessly and effectively with the non-clinical departments within the organization.
• Develop and maintain strong provider relationships.
• Maintain a customer-driven passion for excellence and commitment to innovation and implementation of ideas that improve the healthcare of the patient population.
• Execute and implement timely and high-quality decisions.
• Will also be responsible for all clinical duties performed by Extensivists including but not limited to:
• Manage patients in the hospitals
• Manage patients in the Care Center.
• All patients discharged from the hospital are seen by the hospitalists in the clinic until they are stabilized.
• Manage the ‘skilled’ patients in the SNFs.
• These patients are seen once a week until they remain skilled, which is normally from 1 to 2 weeks.
• Across all settings of care, create a comprehensive and coordinated plan of care which considers information from medical records, the patient and their families, primary care physicians, and specialists as necessary.
• supervisory responsibilities Oversees assigned staff.
• Responsibilities include: recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and disciplining employees.

Minimum Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Experience

• 2-3 years of Hospitalist, Family Practice, or Internist experience preferred but will also consider graduating residents and fellows.
• 1-3 Years of administrative experience
• 1-3 Years of managed care experience preferred Basic understanding of the UM/QM process

Education/Licensure

• NPI (must, upon start)
• Medical Doctorate (M.D.) or Doctor of Osteopathic Medicine (D.O.)
• Internal Medicine or Family Medicine Residency
• Completion of residency program in the United States
• Board Certification required
• Medical License in the state in which you are applying; DEA license; must be board certified or board eligible in specialty

Other

• Career interest in management preferred
• Substantial knowledge across medical subspecialties
• Clinical confidence and friendly “bedside manner”
• Flexibility and willingness to learn new systems and processes
• Strong communication skills
• Proven background in financial and clinical data analysis

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Aff…

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact [e-mail].

Pay Range: $262,145.00 - $393,217.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.