Part-time Medical Director wanted for new Accountable Care Organization (ACO) - Utah Physicians' Quality Care (UPQC). Must be available to start immediately. Will work 15-20 hours per week. The medical director will serve as the primary source locally for both management and education of individual providers in the ACO or other contracted relationship. Management functions include organizing and facilitating meetings of committees and working with care and care quality care coordinators to identify beneficiary and provider trends and opportunities as well as assisting with implementation of both incentives and corrective action for provider non-compliance. Educational responsibilities include helping providers understand ACO best practices and functions and use of the tools provided through ACCS and its partners. Duties include:
Help Identify members/beneficiaries at risk (Top 3% spending & poor quality)
Help educate providers and local personnel about CareScreen and other tools-
Assist in data collection (surveys) about providers, hospitals and other community resources
Support month meetings for PCPs and office staff for ACO activities and outcomes
Help educate local PCPs and other providers
Organize, back-up, support & educate local care and quality coordination personnel
Know and teach appropriate: quality, data security, privacy, and regulatory guidelines
Help improve referral patterns to improve outcomes & support local providers and systems
Help with local network and facilitate negotiations and additions
Review quality data, identify trends, and communicate findings to local & central personnel
Review financial data, identify trends and communicate findings to local and central personnel
Help educate providers on tool use, quality measures and referrals
Help track providers' tool use, quality measures and referrals
Help with provider remediation as needed
Prefer previous experience as a medical director. Must be well organized and able to work well with a team. Must have some knowledge of how to track and identify financial data and trends, knowledge of health promotion and maintenance and management processes, including some ability and experience with quality coordination and measurements.
