Major Responsibilities
Provide leadership and mentorship to Physician PHO members in achieving High Performing Network priorities of quality, efficiency and engagement
Collaborate with PHO Director, Field Advisors, Care Management, Pharmacy, Quality and other EPH teams on quality and performance initiatives
Maintain a close working relationship with hospital CMO and post-acute partners
Attend, and lead when called on, APP and hospital meetings concerning quality, utilization, finance, performance and any administrative meetings as necessary
Identify and develop action plans to address performance improvement gaps within PHO
Perform utilization and referral reviews as assigned and in partnership with APP Medical Operations, including Utilization Management (UM), Referrals, and Integrated Care Management in a timely manner and leveraging Epic Care Link platform, where applicable for performing PHO managed care regulatory duties
Actively engage in financial review and planning for the PHO managed care finances and value-based lives membership
Identify potential new leaders and collaborate with hospital and PHO leadership on succession planning for PHO Board and other PHO governance activities
Supports population health initiatives and efforts in key functional areas in collaboration with Associate Medical Director(s) for Population Health, as directed by Regional Medical Director Licensure: Physician Education/Experience Required: Level of Education:
Doctorate Degree
Experience
Minimum of 7 years experience in the clinical practice of medicine and minimum of 3-5 years experience in medical management or academic medicine Knowledge, Skills & Abilities Required: Exhibits a high level of personal integrity, fortitude and approach to problem-solving
Possesses exceptional written and verbal communication and interpersonal skills
Committed to service of patients, colleagues and team members
Demonstrates leadership behaviors, including drives results, cultivates innovation, ensures accountability, exhibits courage, and builds effective teams
Skilled in the ability to conduct difficult conversations, while effectively coaching and mentoring colleagues
Posesses training/experience in quality improvement, utilization management, clinical variation and other population health priorities
License/Registration/Certification
Unrestricted Illinois Physician and Surgeon license
Maintain Board certification in ABMS-certified specialty/subspecialty
Issued By (Governing Body)
American Board of Medical Specialties
Physical Requirements And Working Conditions
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.