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Job Description:

About the Role:

The Cityblock (CBH) Associate Market Medical Director is responsible for providing medical oversight to clinical staff across our home and community-based care teams and multiple Cityblock clinic locations in the market, focused on our different lines of business.. You will collaborate with our partners, and lead the development and refinement of clinical practices and policies.

In partnership with the VP, [Market] Medical Practice, the AMMD collaborates with our health plan partners, and leads the development and refinement of clinical practices, strategic operations, and policies. The role works collaboratively with an interdisciplinary team of clinical and non-clinical leadership to support the market to hit their gross margin goal, clinical quality goals, and other essential market-specific goals.

This role leads with passion for high quality, value-based care, operates and manages a large distributed workforce in a matrixed environment, and leads by example, with empathy, and positive influence to support the continuous improvements of our clinical care services.

Strategy

• Develop and implement cost of care initiatives based on segmentation and other population health drivers and partner with your local care teams to further evaluate and iterate initiatives to support high quality member care, for both consented and pre-consented members

• Partner with Cityblock’s Data and Analytics teams to understand and map solutions to address drivers of utilization and translate this information to local care teams for iteration of potential data-driven solutions

• Lead clinical quality improvement initiatives that may span multiple locations and that focus on HEDIS, contracted or other determined clinical quality metrics, in partnership with Cityblock’s Quality Improvement team

• Decrease unnecessary hospitalizations, emergency room visits, and unnecessary speciality referrals

• Develop and implement strategies to right set Medicaid and Medicare revenue with the VP, Medical Practice and central BoI teams.

Clinical Care and Oversight

• Collaborate with Clinical Staff Affairs to manage provider licensing, credentialing and ongoing competency requirements in order to assure market providers are adequately privileged for clinical care

• Manage market patient safety efforts and clinical risk management, achieving practice-level and individual patient quality outcomes, in partnership with Cityblock’s Patient Safety team

• Participate in the delivery of educational content around complex care delivery including geriatrics, palliative care, chronic disease management, social determinants of care, and integration of primary and behavioral health needs, across the entire care team including non-clinical staff

• Provide clinical care to an appropriate panel of members with complex needs, with an emphasis on chronic disease management, primary behavioral health, primary palliative care and substance use disorder diagnosis and treatment

• Work a full-time week and be prepared to join the Cityblock on-call schedule as needed. You may be expected to participate in a Saturday Rotation based on your market’s schedule. You may need to work outside of regular business hours to execute on the market’s clinical or business needs.

• Meet evolving monthly and quarterly targets for visits with Cityblock members, in both clinic and home setting

• "Direct report providers report feeling supported by you, their manager: Minimal voluntary attrition

• Clinical cases of Providers meet standards for evidence based complex primary care

• Attend case conferences on regular basis to advise on clinical needs for presented members and establish goals as part of members' care plans.

• Partner and network management

• Attend external meetings and activities to further the business goals of the organization

Operations

• Operate in lockstep with the Hub Operations team, to ensure the clinical needs are met by practice management, flagging any concerns or processes that you experience or that are raised by your team.

Requirements for the Role:

• Graduate from an accredited medical college (within the United States/Canada) or from an unaccredited medical college (outside of the United State/Canada).

• Board certification in a major primary care specialty field of practice. Certified in Basic Life Support for Healthcare Providers DEA licensure (or willingness to acquire)

• MD, DO in Internal Medicine, Family Medicine, Geriatrics, or similar specialty required

• Current valid license to practice medicine in the state in which you are employed with Cityblock.

• Willingness to acquire licenses in other states according to CBH business need.

• 3-5 years clinical team leadership

• Are comfortable using technology to support members (telephone and text etiquette, virtual visit platforms, scheduling platforms etc.) and to communicate with interdisciplinary team (slack, google documents, etc).

• Consolidate and understand feedback from end users of the electronic health record systems and/or care facilitation platforms and communicate to cross-functional teams to troubleshoot and optimize systems.

• Document thorough medical, behavioral and social history with clearly communicated assessments and plans.

• Expert in Motivational Interviewing and Trauma informed Care principles.

• Able to model and teach these principles to the team.

• Have strong problem solving skills - can make difficult decisions and knows when and how to collaborate with cross-functional leadership and other cross-functional team members and leadership.

• Able to provide creative solutions to challenges within the healthcare system that are impeding members’ care and health.

• Analytical and empirical -- focused on optimizing return on investment of resources against stated objectives.

• Knowledgeable about what drives outcomes in this space, including strategically driving population health programs that reduce TCOC and increases capitation revenue (Medicare & Medicaid revenue optimization).

• Have experience building and implementing new or evolving programs and processes.

• Understands company Objective and Key Results and contributes to program strategy through data-driven approaches.

• Play a lead role in monitoring, evaluating, and driving quality improvement activities across hubs, home-based care, and virtual care. This role includes review of member and care team quality of care concerns.

• Drive integration of clinical innovations, including community medicine, care transitions, palliative care, and others, in line with enterprise strategy and programs with an eye towards deploying measure-able programs that reduce TCOC and right-sets capitation revenue.

• Oversee and be accountable for the performance of in-market providers and other clinical performance.

• Strategically build, deploy, and measure programs that decrease IP/ED utilization, decrease other areas of impactable spend (ex. LTSS), and right-sets capitated Medicaid and Medicare revenue.

• Able to communicate to team about their performance based on metrics that drive intended outcomes.

• Understands how to motivate and drive teams and has experience building and managing clinical teams.

• Ability and experience supervising Physicians and APCs (3-5 year minimum)

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Covid 19 Update - Please Read:

Cityblock requires those hired into this position to provide proof that they have received the COVID-19 vaccine. Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. This vaccination requirement is based, in part, on recently established government requirements. The requirement is also based on the safety and effectiveness of the vaccine in protecting against COVID-19, and our shared responsibility for the health and safety of members, colleagues, and community.

The COVID-19 pandemic has severely impacted the health and lives of people around the world, including the vulnerable populations Cityblock serves. As a healthcare provider, Cityblock holds ourselves to the highest standards when promoting the health and safety of those who we serve. Given that the COVID-19 vaccines are one of the most powerful tools to fight this disease and save lives, Cityblock is implementing a COVID-19 booster mandate for Washington, D.C. employees under the guidance of local/state mandates.

Medical Clearance (for Member-Facing Roles):

You must complete Cityblock’s medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.

We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.