On Call Medical Insurance Call Center Jobs in Springfield, MO

Job Type
Full-time
Description
Qualified Candidates MUST be a M.D. or DO with current state of license. DEA registration and the ability to obtain and maintain staff privileges at Jordan Valley Senior Care contracted agencies. Board certified in Internal Medicine or Family Practice with advanced certification in geriatrics preferred.
About Jordan Valley Community Health Center:
Jordan Valley Community Health Center (JVCHC) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community's health through access and relationships. By working collaboratively with partners and continually innovating, JVCHC strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare.
Job Summary : is responsible for the delivery of participant care, for clinical outcomes, and for the implementation, as well as oversight, of the quality improvement program.
Reporting Relationships:
The Medical Director reports to the Executive Director.
Employees this position supervises: Primary Care Physician, Nurse Practitioners, Quality Improvement Coordinator, Pharmacist, Registered Dietitian
Duties and Responsibilities :
• Responsible for delivery of care and clinical outcomes.
• Provides medical guidance and supervision of medical services activities.
• Provides leadership and medical expertise in the development of medical policies, procedures and guidelines.
• Responsible for the development of Jordan Valley Senior Care clinical standards and medical practice guidelines and protocols.
• Provides oversight of the Primary care staff to include physicians and nurse practitioners.
• Participates as needed in the delivery of primary care and after hour on call coverage
• Responsible for the compliance and oversight of the Medicare Part D Drug Management Program
• Provides oversight of the QI Plan.
• Reviews all quality-of-care issues and oversees the development and implementation of quality-of-care corrective action plans.
• Participates in the oversight, training and education of the interdisciplinary team.
• Coordinates performance appraisal of the Primary Care Physician.
• Develops educational and other programs to build the skills of participating providers.
• In conjunction with Contract Manager manages all communication with the provider network
• Represents Jordan Valley Senior Care to external agencies, professional groups and regulatory agencies and organizations as required.
• Demonstrates necessary skills and knowledge as outlined in position-specific competency requirements.
Benefits Overview:

• Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
• Health Savings Account (HSA): Available for employees in the High-Deductible Plan with employer contributions and tax advantages.
• Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
• Dental and Vision Coverage: Dental insurance through Cigna's DPPO network and vision coverage through EyeMed's Insight network.
• Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
• Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available.
• Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention.
• Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife.
• Pay on Demand Available

Holidays:

• Nine paid holidays per year.

Health Requirements:
All employees are required to provide proof of vaccination for Flu, Hepatitis B and Tuberculosis (TB) as part of our commitment to maintaining a safe and healthy workplace.
Application Process:
Interested applicants should submit a resume and cover letter through the JVCHC career portal at Careers & Education - Jordan Valley . Applications will be accepted on a rolling basis until the position is filled.
Jordan Valley Community Health Center is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
Want to connect before applying? Reach out directly. Send an email to Beth.Miller@jordanvalley.org.
Requirements
Education : M.D. or DO with current state of license. DEA registration and the ability to obtain and maintain staff privileges at Jordan Valley Senior Care contracted agencies. Board certified in Internal Medicine or Family Practice with advanced certification in geriatrics preferred.
Experience : Must have experience working in a managed care environment and working with peers and other health providers to resolve utilization, quality management, performance improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership issues. Minimum 3 years of experience in a lead administrative role and 1-year primary care experience with a frail, elderly or long-term care population.
Skills and Knowledge :
• Excellent verbal, written and public speaking skills.
• Knowledge of physical, mental and social needs of frail older adults.
• Effective skills in physical assessment and chronic disease management for frail
older adults.
• Able to work within the interdisciplinary team setting.
• Able to utilize basic computer skills in the workplace.
• Strong organizational skills.
• Demonstrates necessary skills and knowledge as outlined in position-specific competency requirements.
• Be medically cleared for communicable diseases and have immunizations and vaccines
up to date prior to engaging in participant care.
Desired Personal Attributes :
• Dependable, flexible and resourceful
• Able to work effectively and in a collegial manner will all members of the management and medical staff.
• Able to work sensitively and effectively with individuals of diverse ethnic and cultural backgrounds.
Other :
• Routine travel when necessary