Senior Health Plan Medical Director/Medical Officer
Not Disclosed•Full-TimeHybrid
location_on613, North Eutaw Street, Mount Vernon, Baltimore, Maryland, 21201, United States
About the Role
We are seeking a physician with senior-level health plan experience to join MedStar Family Choice, our Medicaid Managed Care Organization, as the Senior Health Plan Medical Director/Medical Officer in the Baltimore, MD region. This position serves as a key thought partner and advisor to the Executive Director on clinical matters, leading the health plan's clinical operations with a primary focus on developing and executing clinical strategy to drive outcomes.
As a dedicated member of the senior leadership team for the Maryland plan, you will provide direction and clinical oversight to Medical Directors to achieve best-in-class performance. Your role involves leading innovative managed care disciplines to ensure optimal total cost of care management and collaborating on strategic medical expense approaches, such as value-based contracting. You will also build collaborative relationships with Maryland agencies, MedStar Health system leaders, academic physicians, hospitals, and community networks, while raising the visibility of MedStar Family Choice within the community and the broader healthcare industry.
This is a hybrid work position requiring three days onsite at our Maryland office, with the remainder of the week available for remote work.
About MedStar Health
Be part of a nationally recognized health system and the largest provider of health services in the DC, Maryland, and Virginia region. With vast resources and capabilities at your disposal, you can expand your clinical expertise and enjoy a rich career in the Mid-Atlantic region, which features a unique mix of urban, suburban, and rural communities.
MedStar Health is the largest health system in the region, employing 30,000 associates across 10 hospitals, hundreds of ambulatory care sites, and more than 700 access points of care covering over 225 zip codes in 17 counties. We are proud to be ranked among the "Best Places to Work" by Baltimore magazine, the Baltimore Business Journal, and the Washington Business Journal.
Our Commitment to Diversity and Inclusion
MedStar Health is committed to equity for all people and communities. As a proud member of the Institute for Diversity in Healthcare Management, we are dedicated to expanding career and leadership opportunities for ethnically, culturally, and racially diverse individuals. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and accomplishment at all levels of the organization.
As a leader in healthcare, we are taking action to evolve our organization and bring unique, multidimensional perspectives together to deliver equitable care, improve the health of the communities we serve, and contribute to the advancement of the healthcare industry overall. At MedStar Health, we believe diverse teams and perspectives make us stronger, lead to better care for our patients, and foster a supportive work experience for our associates. Our commitment to diversity is built into our SPIRIT values, acknowledging that teamwork and system effectiveness are built on the collective strength and cultural diversity of everyone working with open communication and mutual respect.
Work location
Work model: Hybrid
613, North Eutaw Street, Mount Vernon, Baltimore, Maryland, 21201, United States
Baltimore, Maryland
Key Responsibilities
- check_circleServe as a key thought partner and advisor to the Executive Director on clinical matters
- check_circleLead the health plan's clinical operations with a focus on developing clinical strategy
- check_circleLead and execute innovative Managed Care disciplines to ensure optimal total cost of care management
- check_circleBuild collaborative relationships with Maryland agencies, health system leaders, and community physicians
- check_circleProvide leadership and clinical oversight of Medical Directors to achieve best-in-class performance
- check_circleRaise the visibility of the organization within the community and the broader healthcare industry
- check_circleDevelop strategic medical expense approaches including value-based contracting strategies
Requirements
- verifiedPhysician
- verifiedPrevious experience in a health plan or Medicaid managed care environment
- verifiedPrior supervisory and leadership experience
- verifiedMinimum of 5 years of clinical experience
Nice to Have
Prior experience with provider contracting models and incentive plans, experience with NCQA certification, HEDIS reporting, quality management and audits, departments of health or other government agencies, and government sponsored programs and recipients. Prior experience with population health, disease management, data analysis and interpretation in a health care setting.
Benefits & Perks
check_circleMedical, dental, and vision insurancecheck_circlePaid medical licensing and malpractice insurancecheck_circleGenerous paid time offcheck_circleCME leave and CME allowanceRetirement savings plan with employer match
Similar Job Opportunities
Frequently asked questions about Senior Health Plan Medical Director/Medical Officer at MedStar Health
What does a Senior Health Plan Medical Director/Medical Officer at MedStar Health do?expand_more
A Senior Health Plan Medical Director/Medical Officer at MedStar Health is responsible for the following: Serve as a key thought partner and advisor to the Executive Director on clinical matters; Lead the health plan's clinical operations with a focus on developing clinical strategy; Lead and execute innovative Managed Care disciplines to ensure optimal total cost of care management; and Build collaborative relationships with Maryland agencies, health system leaders, and community physicians.
What are the requirements for this Senior Health Plan Medical Director/Medical Officer role?expand_more
To qualify for the Senior Health Plan Medical Director/Medical Officer at MedStar Health position, applicants should have: Physician; Previous experience in a health plan or Medicaid managed care environment; Prior supervisory and leadership experience; and Minimum of 5 years of clinical experience.
Where is the Senior Health Plan Medical Director/Medical Officer role at MedStar Health located?expand_more
Senior Health Plan Medical Director/Medical Officer at MedStar Health is based in 613, North Eutaw Street, Mount Vernon, Baltimore, Maryland, 21201, United States. This is a hybrid role.
Is this Senior Health Plan Medical Director/Medical Officer job remote, hybrid, or on-site?expand_more
MedStar Health has listed this Senior Health Plan Medical Director/Medical Officer role as hybrid.
How much experience is required for this Senior Health Plan Medical Director/Medical Officer role?expand_more
Senior Health Plan Medical Director/Medical Officer at MedStar Health typically requires 5+ years of relevant experience at the senior level.
What skills do you need for the Senior Health Plan Medical Director/Medical Officer role at MedStar Health?expand_more
Key skills for Senior Health Plan Medical Director/Medical Officer at MedStar Health include Ncqa Certification; Hedis Reporting; Quality Management; Audits; Population Health; Disease Management; and Data Analysis.
What category does the Senior Health Plan Medical Director/Medical Officer role belong to?expand_more
Senior Health Plan Medical Director/Medical Officer at MedStar Health is part of the healthcare & nursing job category on Recrutus.