Insurance Medical Director Jobs (NOW HIRING)

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what.

The Medical Director leads and oversees all medical care provided to WelbeHealth participants. This role is also accountable for the development, maintenance, and oversight of the WelbeHealth Quality Improvement (QI) program, and all medical policies, procedures, standards, and protocols. The Medical Director oversees the contracted specialty network of services and provides leadership among staff, colleagues, and providers in the community. As necessary, the Medical Director also provides direct care as a PACE Physician.

This role is different because the Medical Director at WelbeHealth:

• Plays a key role in launching WelbeHealth's first center in New Jersey
• Serves a smaller panel of patients, allowing for the opportunity to practice true value-based care and make meaningful, long-term relationships in a mission-driven environment

We care about our team members. That's why we offer:

• Medical insurance coverage (Medical, Dental, Vision)
• Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
• 401K savings + match
• Comprehensive compensation package including base pay and bonus
• And additional benefits!

On the day-to-day, you will:

• Develop and maintain written objectives, policies, procedure manuals, organizational plans, and quality assurance programs for the medical service, reviewing all medical policies and procedures at least annually, as well as develop medical staff bylaws, in cooperation with the medical staff
• Participate in planning and budgeting for the medical service
• Coordinate and integrate the medical service with other participant care services to provide a continuum of care
• Ensure medical staffing patterns are implemented
• Assist in developing and maintaining written job descriptions for the medical staff, participating in the review of credentials and delineation of privileges of medical staff, and assigning duties based upon education, training, competencies, and job descriptions
• Recruit, train, and supervise (including PACE orientation and competency testing) PACE Physicians, Nurse Practitioners, community-based PACE Physicians and other contracted medical staff, and participate in staff orientation and education activities
• Approve the contents, locations, and frequency of checking contents, including expiration dates, emergency kits or carts, equipment, and supplies, as well as assigning responsibility for these checks

Job requirements include:

• Successful completion of a residency program accredited by the Accreditation Council for Graduate Medical Education or approved by the American Osteopathic Association in a medical specialty related to services provided by the facility, or a diplomate of one (1) of the certifying boards approved by the American Board of Medical Specialties or of the American Osteopathic Association in a medical specialty related to services provided by the facility
• Board certification in internal medicine, family practice, emergency medicine, or geriatrics preferred
• Active state physician license without restrictions
• State CDS certification and active DEA registration
• Must be currently enrolled or eligible for enrollment to provide services to Medicare participants
• Minimum of two (2) years of supervisory experience with demonstrated ability to mentor and develop team members
• Current knowledge of chronic care, geriatric issues, and best practices; working knowledge of PACE regulations preferred
• Experience leading in a data-driven organization, leveraging reports and data to prioritize and manage people and projects

We are seeking Medical Director that is a highly motivated, inspirational leader who has experience innovatively engaging, supporting, and removing barriers for their team to ensure they consistently meet established goals. If you're ready to join a holistic care team that values both its participants and providers, we'd love to hear from you!