Chief Medical Officer - Providence Medical Group, Alaska

Description

THE ROLE

Providence Medical Group is part of Providence Alaska, a not-for-profit network of hospitals, skilled nursing facilities, care centers, physicians, clinics, home health services, and affiliated services operating mostly in South Central Alaska. The larger unifying organization, Providence, has a presence in five Western states: Alaska, California, Montana, Oregon and Washington

The Providence Medical Group Alaska Chief Medical Officer (PMG-CMO) provides overall clinical and strategic leadership to PMG in Alaska, including the activities of all medical directors and oversight of all PMG primary and specialty care clinics/service. The PMG-CMO is responsible for all clinical activities, ensuring the highest quality of medical care delivered by PMG practitioners and support staff, achieving cost effective utilization of services provided, and oversees provider practice issues.

The PMG-CMO will work in collaboration with other PMG/Service area leaders to enhance service throughout the entire continuum of care. In collaboration with PMG-CFO and PMG Directors, the PMG-CMO will provide oversight and guidance for the financial aspects of PMG, and the development and implementation of strategic initiatives consistent with the strategic initiatives of Providence. With regional leadership, PMG-CMO oversees development and implementation of strategic plans; assists with medical staff recruitment to achieve appropriate staffing levels; and ensures that clinic caregivers are well informed regarding PMG strategy, direction, current issues and management response to those issues. This oversight includes; shared accountability for attainment of financial performance targets and for compliance with accreditation standards, and organizational requirements, such as medical management strategies, disease management programs, and service improvement initiatives, including customer satisfaction, and complaint resolution.

ESSENTIAL FUNCTIONS

• Positions PMG as a service area leader for providing quality care through initiatives, education and strong quality metrics programs. Partners with CFO and Operations team on the education, development, and reporting of care processes and patient outcome measures. Ensures that PMG meets or exceeds quality standards, including patient experience goals. Oversees development of best practices for PMG that become standards for care.
• Participate in clinic, department, and program-specific and system-wide quality assurance and improvement programs through active involvement in identifying indicators, utilization of services, and appropriateness of treatment for clinical services.
• Direct the development and implementation of methods to monitor and analyze outcomes, track project development and performance improvement for the program.
• Manage clinical quality concerns.
• Promote best practices around staff engagement, patient experience, and value.
• Provide direction and support for utilization and quality management policies, criteria and protocols. Implements medical policy/procedure guidelines, including evaluation of new medical procedures.
• Participate in retrospective review of problem areas identified from summary data of paid claims, admissions, authorization logs, grievance process and other sources where policy, utilization or quality issues are involved. Recommend intervention strategies or programs to rectify identified problems.
• Maintain confidentiality of records, patient, employee or medical center information at all times. Ensure all information and conversations regarding patients are secured from general public access.
• Provide effective leadership, by motivating staff and providers to produce excellence in their work both individually and as a team. Create a positive work environment for all staff.
• Create timely and direct communication channels to deal with service, clinical or performance issues, ensuring prompt and appropriate resolution.
• Serve as a role model in setting standard of practice and performance.
• Promote and provide opportunities for both clinical and/or administrative staff professional development.
• Actively support and incorporate the Providence mission and core values into daily activities. Treats others with respect, demonstrates excellence, justice and compassion in daily work and relationships with others. Is a steward of fiscal and human resources.
• Assist practitioners in addressing physician and medical director behavior and impairment issues.
• Establish regular meetings with the administrative and provider staff to monitor and evaluate internal operations and progress towards meeting annual goals.
• Serve as the key communications link to staff physicians, other providers, and dyad partner by relaying all information garnered from meetings by tying PMG and Providence-wide efforts and initiatives to the clinic, program, and department level.
• Participate actively in meetings within Alaska Region and Providence, and act as a liaison for communication and problem-solving both internally and externally.
• Participate in all mandatory staff meetings and in services and training programs to ensure continued understanding of all departmental policies, procedures and performance improvement processes.
• Monitor clinical adherence to all applicable PMG policies and procedures, initiating prompt corrective action plans to address issues.
• Provide direct supervision to all direct reports, and assist in their ability, and all medical directors' ability to provide supervision and guidance to clinical and administrative staff.
• Direct the development and utilization of tools and other resources to analyze provider productivity and lead effort to address issues in conjunction with dyad partner.
• Works with practitioners to analyze experience and practice patterns. Counsel and develop physicians who have quality shortfalls or questionable patterns of utilizing inpatient or ancillary services, referrals and/or other medical services.
• Ability to manage difficult peer situations arising from medical care review. Willingness to constructively confront providers about needed changes in practice patterns.
• Serve as a professional link between PMG medical staff, departments and Administration to resolve conflicts, facilitate communication, and engage in development of interdisciplinary treatment teams and approaches.
• As a member of the Alaska Region senior leadership team, promote collaboration and cooperation with independent physicians and business partners.
• Works in collaboration with the Community Ministry Boards relative to PMG governance.
• Participate in the PMG strategic planning processes, updating organizational design to maximize productivity and operational efficiency while improving quality and controlling costs.
• With CFO and PMG Directors, participate actively in the budgeting process, setting reasonable financial goals and striving to maintain cost-effective practice guidelines while achieving the highest quality of care.
• Monitor and develop action plans to ensure PMG progress toward achievement of goals and objectives, especially as they relate to productivity, provider and caregiver engagement, finance, and quality. Participates in strategic planning efforts and refinement of business plans as appropriate. Assists with the implementation of business plans to achieve organizational goals.
• Organize and lead multidisciplinary process to develop, maintain, and update clinical pathways, guidelines, and care plans related to specialty.
• Actively participate in the process of Care Transformation by developing and implementing PMG strategic initiatives in Care Transformation.
• Actively recruits practitioners to PMG to augment primary care and specialty clinic capacity.
• Supports and participates in credentialing of providers as well as the contracting process.
• Provide medical direction and oversight for the development, implementation and compliance with appropriate program policies, procedures, and standards of care.
• Consult and participate actively in all compliance efforts, including but not limited to, standards and recommendations of the Joint Commission, applicable standards of relevant professional societies, and all applicable local, state, and federal laws and regulations.
• Maintain licensure and board certification.

QUALIFICATIONS

• MD or DO from an accredited medical school.
• An advanced degree in healthcare administration, business administration or a related field is desirable.
• Upon hire: Alaska Physician License (Vendor Managed).

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Requsition ID: 374815

Company: Providence Jobs

Job Category: Provider Management

Job Function: Provider

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 1014 AK PMG ADMIN 1

Address: AK Anchorage 3200 Providence Dr

Work Location: Providence Alaska Medical Ctr-Anchorage

Workplace Type: On-site

Pay Range: $TBD - $TBD

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.