Physician / Chief Medical Officer / Arizona / Locum or Permanent / Market Medical Director, Cli[...]

OptumCare; Tucson (AZ); On-site; USD 200,000 - 300,000; Full time

Job summary

An established industry player is seeking a Medical Director to lead their Clinical Analysis and Consulting Team in Tucson, AZ. This pivotal role involves enhancing the quality and efficiency of medical care while fostering collegial relationships with physicians. You will develop strategies to improve market performance, oversee care coordination, and ensure compliance with regulatory standards. If you are passionate about driving impactful healthcare outcomes and possess strong leadership skills, this opportunity is perfect for you.

Qualifications

• Proven experience in a leadership role within a healthcare setting.
• Strong understanding of medical coding and documentation practices.

Responsibilities

• Develop relationships with physicians to support business efforts.
• Educate physicians on compliance and market performance strategies.

Skills

Leadership

Medical Knowledge

Data Analysis

Regulatory Compliance

Care Coordination

Education

Medical Degree (MD or DO)

Board Certification

Job description

OptumCare Arizona is seeking a Medical Director to join our Clinical Analysis and Consulting Team in Tucson, AZ. You will have the opportunity to drive measurable and meaningful outcomes in the Tucson Market with other members of the team. You will be responsible for improving the quality and efficiency of medical care in the market and leading the provider network (both employed and contracted).

Primary Responsibilities:

1. Develop and maintain collegial relationships with physicians (both employed and contracted) to support the organization's business efforts.
2. Educate Primary Care Physicians on systems, structures, processes, and outcomes necessary for regulatory compliance related to market activities.
3. Develop strategies to improve all aspects of market performance, including coding, documentation, membership, and medical management.
4. Analyze aggregate data and reports to primary care physicians.
5. Supervise functions of care coordination.
6. Assess the effectiveness of the specialty network to ensure members have access to multi-specialties within their demographic area.
7. Evaluate physicians' performance concerning goals and objectives.
8. Oversee 2 Medical Coders and 2 Nurse Practitioner Coordinators working on documentation and coding to accurately identify and capture managed care conditions for proper risk adjustment.
9. This position requires daily travel within the Tucson Market, including fieldwork.