Overview:
Join our team as we continue growing our footprint!
Our mission is Better Health. Our passion is helping others.

WHAT’S YOUR WHY?

• Are you looking for a career opportunity that will help you grow personally and professionally?
• Do you have a passion for helping others achieve Better Health?
• Are you ready to join a growing team that shares your mission?
  Why Join Our Team: At Better Health Group, it’s our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don’t just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.
  Responsibilities:

POSITION REQUIREMENTS/ SKILLS:

• Medical Degree from an accredited institution
• Currently licensed to practice medicine in states of responsibility; ability to obtain additional state licenses as required
• Board Certified in a specialty recognized by the American Board of Specialties (ABMS)
• 10 years (can be combined) of clinical and managed care experience
• Experience in Utilization Management, Quality Improvement, and Physician Improvement Programs
• Experience in Medicare Advantage
• Experience in leadership roles and project management
• Experience working with high-performing teams and leading organizational change efforts
• Experience and expertise in medical cost reduction activities
• Understanding of medical analytics and reporting
• Working knowledge of medical policy and application of criteria
• Ability to manage multiple priorities in an expedient and decisive manner
• Ability to manage difficult peer-to-peer situations arising from medical care reviews
• Proficient with Microsoft Office (Word, Excel, PowerPoint) for real-time collaboration

PHYSICAL REQUIREMENTS:

• Requires standing, walking, pushing, bending, kneeling, and reaching
• Ability to sit for extended periods of time
• Requires corrected vision and hearing to normal range
• Ability to operate a motor vehicle and have own means of transportation
• Ability to travel 25% of the time

KEY ATTRIBUTES/ SKILLS:

• Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles
• An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments
• Is able to work within our Better Health environment by facing tasks and challenges with energy and passion
• Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals
• Demonstrated ability to handle data with confidentiality
• Ability to work cross-functionally with multiple teams; ability to work independently with minimal supervision
• Excellent organizational, time-management, and multi-tasking skills with strong attention to detail
• Excellent written and verbal communication skills; must be comfortable communicating with senior-level leadership, providers, and health plans
• Strong interpersonal and presentation skills
• Strong critical thinking and problem-solving skills
• Must be results-oriented with a focus on quality execution and delivery
• Appreciation of cultural diversity and sensitivity toward target patient populations
  Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

• Provide strategic and clinical leadership to the PCPs, ensuring alignment with the organization’s goals and objectives
• Develop and implement policies and procedures to align with optimal clinical practice and outcomes to improve the quality of patient care
• Collaborate with other department heads to develop and execute strategic initiatives that drive the organization’s growth and success
• Support and lead integration/ change initiatives with new or acquired clinics as they evolve from Fee for Service to Value Based Care Model
• Provide guidance to the medical staff, including physicians, nurses, and other healthcare professionals, ensuring compliance with medical standards and protocols
• Monitor and evaluate the quality of patient care, identifying areas for improvement and implementing corrective actions as necessary
• Stay updated with the latest advancements in medical practices and technologies, and ensure their integration into the organization’s clinical operations
• Ensure the delivery of compassionate, evidence-based, and patient-centered care to all patients
• Collaborate with the medical team to develop and implement care plans that meet the individual needs of patients
• Address patient concerns and complaints, and work towards resolving any issues related to the quality of care
• Ensure compliance with all applicable healthcare regulations, standards, and guidelines
• Stay informed about changes in healthcare laws and regulations, and implement necessary changes to maintain compliance
• Collaborate with the legal and compliance teams to address any legal or regulatory issues that may arise
• Train and mentor medical staff, fostering a culture of continuous learning and professional development
• Direct the activities related to improving PCP performance for UM and Quality
• Foster a collaborative and inclusive work environment that promotes teamwork and effective communication
• Additional duties as assigned