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WALGREENS Looking for Market Medical Director, Clinical Healthcare; Southern New Jersey Full Time
3.
5 1 hour ago Full Job Description Job Summary The Market Medical Director is responsible for the overall clinical performance of the assigned market.
The individual in this role will provide clinical and operational oversight of clinical programs and will also support the business lead in the growth of the market.
This individual will work closely with market primary care providers to support and improve their performance on risk based contracts.
This individual will be responsible for ensuring the success of value based arrangements with payers by managing clinical models of care across all Walgreens Health channels (in store, virtual, and in home).
The Market Medical Director will be responsible for:
operationalizing our clinical programs in the market, supervising market clinical staff, ensuring market compliance, and success as measured by market KPIs.
Additionally, the Market Medical director will have responsibility to develop, strengthen and grow our provider relationships/network with our Business Development team.
Job Responsibilities Be the accountable party for market success across:
Clinical Quality (Stars, HEDIS), Clinical outcomes (admissions per thousand, ED visits per thousand), Market Growth Experience and understanding of a metrics driven approach to analyze quality, cost, growth, and member satisfaction data to drive clinical strategy Develop and employ policies and procedures to ensure standardized, safe, and compliant clinical care across all sites and channels of care (instore, virtual, in home) Be accountable to ensuring compliance with applicable Federal, State, municipal, regulatory agency requirements, and accreditation standards Participate in ongoing learning and training to ensure knowledge of leading clinical practices and quality improvement Leverage leading practice knowledge to monitor and improve operations of care models to impact medical and behavioral care outcomes Manage program operations to support members across their journey and continuum of care (wellness, primary, urgent, acute, post acute, etc.
) Support the interdisciplinary team with the coordination of admissions and post discharge planning with hospitals/SNF Manage and ensure operations of programs that will succeed in a risk based environment across different populations including commercial, Medicaid, and Medicare Recruit, train, onboard, and oversee market providers and clinical staff.
Training to include, but not limited to, leading clinical practices by channel of care, leading member experience practices by channel of care, and care coordination Support market team in clinical case evaluations, as needed Supervise and mentor market providers and clinical staff Collaborate with Clinical Program operations teams to ensure seamless implementation of new programs and maintenance of existing programs Understand and support risk based models and value based arrangements, including key competencies and critical success factors of payer/provider partnerships Understand and apply financial principles related to healthcare and reimbursement in payer/provider relationships, including but not limited to, capitation arrangements, fee for service arrangements, third party reimbursement programs, and physician compensation models Support market access efforts to build provider relations and expand our network to improve care coordination.
Required asks could include meeting provider groups, attending conferences, developing supporting content, case studies, and decks Operationalize and participate in Joint Operating Committees (JOCs) Attend industry conferences, participate in professional organization, and maintain an active peer network to support knowledge in leading practices and to support provider network engagement An Equal Opportunity Employer, including disability/veterans #LI-NW14 About Walgreens Boots Alliance Walgreens Boots Alliance (Nasdaq:
WBA) is a global leader in retail pharmacy, impacting millions of lives every day through dispensing medicines, and providing accessible, high-quality care.
With more than 170 years of trusted healthcare heritage and innovation in community pharmacy, the company is meeting customers’ and patients’ needs through its convenient retail locations, digital platforms and health and beauty products.
Including equity method investments, WBA has a presence in more than 25 countries, employs more than 450,000 people and has more than 21,000 stores.
WBA’s purpose is to help people across the world lead healthier and happier lives.
The company is proud of its contributions to healthy communities, a healthy planet, an inclusive workplace and a sustainable marketplace.
WBA is a participant of the United Nations Global Compact and adheres to its principles-based approach to responsible business.
WBA is included in FORTUNE’s 2021 list of the World’s Most Admired Companies.
This is the 28th consecutive year that WBA or its predecessor company, Walgreen Co.
, has been named to the list.
More company information is available at www.
walgreensbootsalliance.
com Basic Qualifications MD, DO with board certification At least three (3) years of leadership experience in clinical quality management, risk management, operationalizing clinical service models in a payor, provider, or population health organization At least seven (7) years of experience with direct patient care in clinical practice At least 5 years of experience contributing to financial decisions in the workplace.
At least 5 years of direct leadership, indirect leadership and/or cross functional team leadership.
Willing to travel up to/at least 25% of the time for business purposes (within state and out of state).
Preferred Qualifications Experience working:
In a provider enablement model In clinical leadership in multiple settings of care (ambulatory, virtual, acute and post acute care) and in both the provider setting and in health plan (payer) setting In a health plan and/or provider system with experience across population segments and lines of business (e.
g.
, commercial, Medicare, Medicaid, and others) Value based care, especially Medicare Advantage delegated risk With client facing responsibilities in either/both B2B and/or B2C environments In medical administration, and active participation in local, state, and national medical associations With healthcare personalization and/or health IT application With the healthcare needs of diverse, frail populations In a start up environment Located in Southern NJ.
Actively licensed and available to practice in the market, as need arises The Walgreens Health team comprises and celebrates people from all sorts of backgrounds.
We ask that everyone brings:
Creativity, empathy, analytic thinking, accountability for high personal impact, and ability to think outside the box A team oriented, collaborative approach and a willingness and ability to handle opposing perspectives and gain consensus with internal and external resources to develop strategies that meet department goals within budget and established timelines Strong written and oral communication skills A continuous learning and improvement philosophy A passion for improving the healthcare experience while making it more accessible for consumers.
Estimated Salary: $20 to $28 per hour based on qualifications.
5 1 hour ago Full Job Description Job Summary The Market Medical Director is responsible for the overall clinical performance of the assigned market.
The individual in this role will provide clinical and operational oversight of clinical programs and will also support the business lead in the growth of the market.
This individual will work closely with market primary care providers to support and improve their performance on risk based contracts.
This individual will be responsible for ensuring the success of value based arrangements with payers by managing clinical models of care across all Walgreens Health channels (in store, virtual, and in home).
The Market Medical Director will be responsible for:
operationalizing our clinical programs in the market, supervising market clinical staff, ensuring market compliance, and success as measured by market KPIs.
Additionally, the Market Medical director will have responsibility to develop, strengthen and grow our provider relationships/network with our Business Development team.
Job Responsibilities Be the accountable party for market success across:
Clinical Quality (Stars, HEDIS), Clinical outcomes (admissions per thousand, ED visits per thousand), Market Growth Experience and understanding of a metrics driven approach to analyze quality, cost, growth, and member satisfaction data to drive clinical strategy Develop and employ policies and procedures to ensure standardized, safe, and compliant clinical care across all sites and channels of care (instore, virtual, in home) Be accountable to ensuring compliance with applicable Federal, State, municipal, regulatory agency requirements, and accreditation standards Participate in ongoing learning and training to ensure knowledge of leading clinical practices and quality improvement Leverage leading practice knowledge to monitor and improve operations of care models to impact medical and behavioral care outcomes Manage program operations to support members across their journey and continuum of care (wellness, primary, urgent, acute, post acute, etc.
) Support the interdisciplinary team with the coordination of admissions and post discharge planning with hospitals/SNF Manage and ensure operations of programs that will succeed in a risk based environment across different populations including commercial, Medicaid, and Medicare Recruit, train, onboard, and oversee market providers and clinical staff.
Training to include, but not limited to, leading clinical practices by channel of care, leading member experience practices by channel of care, and care coordination Support market team in clinical case evaluations, as needed Supervise and mentor market providers and clinical staff Collaborate with Clinical Program operations teams to ensure seamless implementation of new programs and maintenance of existing programs Understand and support risk based models and value based arrangements, including key competencies and critical success factors of payer/provider partnerships Understand and apply financial principles related to healthcare and reimbursement in payer/provider relationships, including but not limited to, capitation arrangements, fee for service arrangements, third party reimbursement programs, and physician compensation models Support market access efforts to build provider relations and expand our network to improve care coordination.
Required asks could include meeting provider groups, attending conferences, developing supporting content, case studies, and decks Operationalize and participate in Joint Operating Committees (JOCs) Attend industry conferences, participate in professional organization, and maintain an active peer network to support knowledge in leading practices and to support provider network engagement An Equal Opportunity Employer, including disability/veterans #LI-NW14 About Walgreens Boots Alliance Walgreens Boots Alliance (Nasdaq:
WBA) is a global leader in retail pharmacy, impacting millions of lives every day through dispensing medicines, and providing accessible, high-quality care.
With more than 170 years of trusted healthcare heritage and innovation in community pharmacy, the company is meeting customers’ and patients’ needs through its convenient retail locations, digital platforms and health and beauty products.
Including equity method investments, WBA has a presence in more than 25 countries, employs more than 450,000 people and has more than 21,000 stores.
WBA’s purpose is to help people across the world lead healthier and happier lives.
The company is proud of its contributions to healthy communities, a healthy planet, an inclusive workplace and a sustainable marketplace.
WBA is a participant of the United Nations Global Compact and adheres to its principles-based approach to responsible business.
WBA is included in FORTUNE’s 2021 list of the World’s Most Admired Companies.
This is the 28th consecutive year that WBA or its predecessor company, Walgreen Co.
, has been named to the list.
More company information is available at www.
walgreensbootsalliance.
com Basic Qualifications MD, DO with board certification At least three (3) years of leadership experience in clinical quality management, risk management, operationalizing clinical service models in a payor, provider, or population health organization At least seven (7) years of experience with direct patient care in clinical practice At least 5 years of experience contributing to financial decisions in the workplace.
At least 5 years of direct leadership, indirect leadership and/or cross functional team leadership.
Willing to travel up to/at least 25% of the time for business purposes (within state and out of state).
Preferred Qualifications Experience working:
In a provider enablement model In clinical leadership in multiple settings of care (ambulatory, virtual, acute and post acute care) and in both the provider setting and in health plan (payer) setting In a health plan and/or provider system with experience across population segments and lines of business (e.
g.
, commercial, Medicare, Medicaid, and others) Value based care, especially Medicare Advantage delegated risk With client facing responsibilities in either/both B2B and/or B2C environments In medical administration, and active participation in local, state, and national medical associations With healthcare personalization and/or health IT application With the healthcare needs of diverse, frail populations In a start up environment Located in Southern NJ.
Actively licensed and available to practice in the market, as need arises The Walgreens Health team comprises and celebrates people from all sorts of backgrounds.
We ask that everyone brings:
Creativity, empathy, analytic thinking, accountability for high personal impact, and ability to think outside the box A team oriented, collaborative approach and a willingness and ability to handle opposing perspectives and gain consensus with internal and external resources to develop strategies that meet department goals within budget and established timelines Strong written and oral communication skills A continuous learning and improvement philosophy A passion for improving the healthcare experience while making it more accessible for consumers.
Estimated Salary: $20 to $28 per hour based on qualifications.
