ACO Medical Director
At Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day.
Under the direction of the Chief Medical Officer and paired with the Vice President of Clinical Integration, the ACO Medical Director will be responsible for working with CMACO leaders and ACO participants to engage ACO provider leadership and participating providers in initiatives focused on improving quality of care, decreasing unnecessary utilization, and managing healthcare costs for Central Maine ACO’s at-risk populations. The Medical Director will participate actively in initiatives to assure effective communication between the CMACO and provider participants that improve efficiency in care delivery, patient engagement, provider alignment and coordination of care. Related activities include identifying opportunities for performance improvement, setting collaborative goals, monitoring outcomes, and sharing best practices. They will also provide input into payor conversations regarding quality measures and targets and ongoing payor meetings regarding performance management strategies.
- Responsible for supporting the development and sustainment of clinical initiatives and impacting clinical strategies and workflows that promote practice and patient satisfaction and improve value-based healthcare delivery.
- Engage and motivate ACO providers and practices to achieve meaningful quality improvements and reduce health care utilization.
- Partners with ACO leaders to establish and evolve performance measurement and reporting for ACO value-based contracts and other Clinical Integration programs aimed at improving quality, the experience of care, and lowering cost of care.
- Partners with ACO and CMH leadership to identify priority clinical focus areas and supports the creation, implementation and provider engagement in action plans to improve ACO contract performance.
- Serves as the clinical and provider voice in the creation of educational and training materials for ACO participating providers on critical value-based care and population health topics.
- Serves as a thought leader on population health management and the integrated health model, with an eye towards system-wide value enhancements through the institution of best practices and technological solutions or other enhancements.
- Participates and leads patient case reviews and interdisciplinary care team and care plan conversations, when needed.
- Participate in ACO board meetings and other committee meetings, as needed. May serve as Chair or other leadership roles for certain clinical committees of the ACO.
- Works closely with ACO leadership and teams to develop intervention plans and review KPIs.
- Participates in payor Joint Operating Committee and other applicable meetings, serving as physician representation.
- Participates in quarterly performance reviews with all ACO participating providers and other regular communications, when ACO Medical Director input is needed.
Education and experience:
- A Medical Doctor (M.D.) or Doctor of Osteopathy (D.O.)
- Board Eligible or Board Certified in a medical specialty recognized by the American Board of Medical Specialists.
- Current medical licensure issued by Maine State Board of Medicine or the Maine State Board of Osteopathic Medicine.
- A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.
- Five (5) years’ experience championing in leading clinical quality initiatives and programs with other physicians.
- Experience in ACO, Value-Based Care and/or Managed Care preferred.
- Excellent physician relations skills. Skills in relationship development and collaboration across a matrix environment to establish standardization of care and coordinated plans medical case review and program development.
- Strong proficiency in Microsoft Office products, especially Excel and Power Point, desired
- Excellent verbal and written communication skills with proven ability to communicate effectively with a large and diverse constituency, in verbal, written, and presentation formats. Ability to work with a high degree of independence in a dynamic environment.
- Strong analytic and problem-solving skills.
Knowledge, skills and abilities:
1. Ability to engage patients and team members utilizing the CMH Experience Standards
- I am creating a warming, caring, and non-judgmental environment
- I am actively listening and seeking information
- I am honest, truthful, and consistent
- I am respectful, treating all individuals with dignity and empathy
- I am serving as a role model, taking both initiative and ownership when appropriate
- I am working collaboratively and demonstrating teamwork
- I am resilient and adapt to change in positive ways.
2. Serve as the champion of the patient and team member experience by providing an A+ experience to every patient and team member, every day.
3. Excellent written and oral presentation skills, with the ability to engage, inspire, build credibility and trust.
4. Highly organized and self-motivated individual with ability to adapt to various work spaces.
5. Collaborative working style with the ability to work across different teams, areas of expertise, and adapt to ambiguous environments.
6. Must demonstrate excellent interpersonal communication skills, experience managing through influence. Must be personable and comfortable communicating with all levels of the organization.
7. Must be flexible and adaptable to change and demonstrate the ability to work independently.
If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!