Martin's Point Health Care logo
Martin's Point Health Care

We are people caring for people.

Vice President, Medical Director of Clinical Programs

Medical DirectorMedical DirectorFull TimeRemoteLeadTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

Nevada + 4 moreAll locations: Nevada | Maryland | Massachusetts | Missouri | Vermont

Posted

3 days ago

Salary

0

Seniority

Lead

Postgraduate Degree10 yrs expEnglish

Job Description

Vice President, Medical Director of Clinical Programs

Martin's Point Health Care

• Manage the Health Plan Medical Directors • Provide clinical support for the Health Management Utilization Management, Care Management and Quality teams • Drive the development, promotion and delivery of high quality, evidence-based utilization and care management programs and processes • Lead programs and reviews to support effective medical expense management, medical quality programs and outcomes, and programs to manage medical utilization trends such as inpatient, Emergency Department, Site of Care, pharmacy and radiology • Achieves defined clinical outcomes, affordability goals and growth targets • Works closely across the HP to ensure compliance with government program regulations, including management of clinical appeals and grievances with sound clinical evidence and advice • Works closely with the Medical Directors and the Director of Medical Economics to devise analytic approaches that support and measure strategic development and sound clinical programs • Provides clinical insight into data to assist in development of and measurement of tailored interventions that address clinical trends and opportunities • Develops key strategies to address opportunities in medical expense management • Identifies opportunities for improvement in the quality of care that create competitive advantage for Martin’s Point as it relates to the health of populations served • Accountable for appropriate Utilization Management processes • Assists and provides clinical input into the evolution of care/utilization management, quality, and pharmacy related programs • Contributes to and advises in product design and the Medicare bid processes • Contributes to and advises in areas of clinical integration as it relates to risk adjustment • Serves as a central HP leader aligning medical, clinical, and operational functions to achieve seamless and thorough solutions related to Medical and Payment Policies • Actively engages with quality, network, and compliance teams to help drive performance

Job Requirements

  • Medical Degree (MD or DO) from accredited medical school
  • Board Certification in relevant discipline or specialty
  • 10+ years of experience to include several years of clinical practice, including a leadership role and Health Plan experience as a Medical Director
  • HMO/Managed Care experience, including Utilization and/or Quality Program management and exposure to peer review, case management, population health, appeals, chronic and complex disease management, HEDIS reporting, and provider relations
  • Experience with STARS and RAF in a Health Plan space preferred
  • Government sector experience preferred (Medicare, Medicaid and or Military/Tricare products)
  • Prior Management experience preferred
  • Deep knowledge and practical understanding of healthcare systems and managed care concepts
  • Knowledge of performance-based HP/provider arrangements.
  • Excellent interpersonal communication and problem-solving skills
  • Proficient with Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
  • Strong communication and presentation skills
  • Proven presentation skills for both clinical and non-clinical audiences
  • Strong analytic skills with proven understanding of health care utilization data and analytics
  • Ability to influence in executive settings
  • Ability to tailor message to a variety of audience levels
  • Able to make data-driven decisions, implement solutions and document measurable impact.
  • Data skills include the ability to design tracking reports for clinical and financial metrics
  • ability to develop relationships with network and community physicians and other providers
  • Demonstrates an understanding of and alignment with Martin’s Point Values.
  • Able to educate and promote best practices within medical and clinical care programs
  • Able to lead, develop and manage a physician team

Benefits

  • health insurance
  • paid time off
  • wellness programs

Related Categories

Related Job Pages

More Medical Director Jobs

Chief Medical Informatics Officer

UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Role Description The Chief Medical Informatics Officer (CMIO) is an executive healthcare leader who serves as the essential bridge between medical practice and information technology. They ensure that health IT systems are thoughtfully designed, effectively implemented, and optimally utilized to support clinician workflows, enhance performance, and promote organization-wide adoption of technology. The CMIO identifies emerging trends in health informatics to strengthen the applications and systems that support high-quality healthcare delivery, supporting both patient outcomes and clinician well-being. As the primary advisor to executive physicians and organizational leadership, the CMIO guides the standardization and adoption of best practices across all facilities within the account. They lead change with a solid commitment to interprofessional collaboration and provide strategic leadership in the development and application of informatics solutions and technologies to support all provider domains within a multidisciplinary framework. The CMIO supports the clients' organizational goals, regulatory requirements, and the needs of patients and clinicians. Aligns people, processes, and technology to support evidence-based, efficient, and safe care. This role will work collaboratively with other leaders within the MPP Provider Tech Services pillar, ultimately responsible for health informatics delivery to the client. - Establish and execute the vision, direction, strategy, and culture of informatics in collaboration with other informatics and information services leaders to advance organizational goals and mission in our company and at assigned account. - Collaborate with account Chief Information Officer (CIO), Chief Nursing Informatics Officer (CNIO), and Client Executive leadership to advance digital transformation, interoperability initiatives, and account-specific health IT initiatives. - Provide strategic leadership in the development and application of informatics solutions and technologies to support all clinical domains within a multidisciplinary framework. - Champion the adoption of innovative, evidence-based health IT solutions, which enhance evidence-based patient safety, care quality, evolving models of care, and clinical decision-making. - Streamline clinical workflow and ensure optimization of electronic health records (EHRs) and other health technologies by improving usability, automation, workflow integration, and operational efficiency. - Utilize analytics to inform evidence-based practice, predictive modeling, and continuous quality improvement, communicating findings to key stakeholders. - Serve as a change agent, fostering a culture of digital competency and innovation, adaptability, and continuous learning across providers and interdisciplinary teams. - Advise the development and implementation of training programs to advance digital health literacy among clinical staff. - Establish structures and processes to engage frontline clinicians in system design, implementation, optimization, and evaluation to ensure usability, relevance, and long-term adoption and impact. - Ensure adherence to regulatory, legal, and ethical standards in medical informatics and data/AI governance. - Influences health IT policies and standards at the account level. - Advocate and represent providers in IT governance structures, AI governance, transformation initiatives, and decision-making processes. - Foster a culture of inquiry and scholarly collaboration across interdisciplinary teams. Qualifications - Graduate of accredited medical school (MD or DO). Active license by a State Board, in good standing with a board certification in area of specialty. - Advanced training in informatics. - 10+ years leadership/management experience leading interdisciplinary teams, managing complex projects, and collaborating with executive stakeholders. - 10+ years of experience with analyzing health IT clinical workflows to identify, evaluate, and assess new care delivery technology to deliver recommendations on integration impacts with existing workflows and systems to interdisciplinary teams to include executive leadership. - 10+ years hands-on experience with electronic health records (EHRs), health IT implementation, workflow optimization, and data analytics. - Ability to travel up to 50% to client location. - Driver’s License and access to reliable transportation. Preferred Qualifications - Clinical Informatics Board Certification (or board-eligible). - Proven experience in clinical informatics leadership, digital transformation, and health IT implementation. - Proven experience working directly with executive leadership in developing and delivering technology changes, strategies, and/or projects. - Solid executive management experience. - Solid knowledge of artificial intelligence (AI), machine learning, interoperability, cybersecurity, and other emerging health technologies. - Demonstrate project management principles, practices, and software development life cycle (SDLC) knowledge. - Proven analytical skills with the ability to drive transformational, customer-focused change and manage long-term progress. - Proven ability to exercise sound judgment and discretion in decision making. - Proven organizational proficiencies to oversee multiple initiatives simultaneously and work in a fast-paced environment under limited supervision with excellent follow-through on detailed tasks. - Proven excellent verbal and written communication skills. Solid ability to present to C-Suite and Board of Directors audiences. - Proven problem-solving skills with the ability to incorporate process improvement tools. - Proven ability to work independently and in a cross-functional team environment. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). Salary Information The salary for this role will range from $134,600 to $230,800 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.

EST (UTC-5) + 1 moreAll locations: EST (UTC-5) | CST (UTC-6)
$134.6K - $230.8K / year
ICON plc logo

Director, Medical and Scientific Affairs - Imaging

ICON plc

ICON plc, or simply ICON, is a global provider of outsourced development services to companies in industries like biotechnology, medical devices, and pharmaceut

Title: Director, Medical & Scientific Affairs (Imaging) Locations US, Remote Job Description: Work Type: Remote, Full Time Job ID: JR153716 ICON is a global healthcare intelligence and clinical research organisation united by a mission to bring new medicines and treatments to patients faster. As a values-driven organisation, integrity, collaboration, agility, and inclusion are at the heart of how we work and interact with each other, customers, patients and suppliers. We are currently seeking a Director, Medical & Scientific Affairs to join our diverse and dynamic Medical Imaging team. As a Director, Medical & Scientific Affairs at ICON, you will oversee all aspects of imaging for MASH clinical trials. You will also support our business development team in bringing imaging expertise to the clients and helps to grow the business by promoting medical imaging in clinical trials and services provided by ICON. What You Will Be Doing: - Provide scientific expertise and guidance to the Commercial Development and Operations teams within IMC. - Serve as a scientific expert and point of contact for customers, offering insight and support as needed. - Review and provide scientific input on imaging charters, site-facing materials, and sponsor-facing reports. - Ensure projects are designed and implemented appropriately to meet all required imaging endpoints. - Represent the organization at scientific conventions by delivering presentations, participating in panels, and contributing to imaging standardization initiatives. - Collaborate with the Marketing division to highlight key differentiators in imaging services for metabolic diseases. - Conduct sales presentations and maintain strong client relationships, supporting the RFP and RFI processes. - Act as an internal consultant, offering technical and scientific training and support to team members. - Contribute to defining requirements for the development of proprietary imaging software for metabolic diseases. - Travel up to approximately 10%, both domestically and internationally. - Perform other duties and responsibilities as assigned. Your Profile: - PHD degree in a relevant field such as Medicine, Pharmacy, Life Sciences, or a related discipline is required. - Extensive experience in the pharmaceutical industry supporting imaging for clinical trials - Strong leadership skills with a proven ability to manage cross-functional teams in a collaborative environment. - Expertise in data analysis and interpretation, with a focus on translating scientific findings into actionable insights. - Excellent communication, interpersonal, and stakeholder management skills, with the ability to influence and drive strategic initiatives across the organization. #LI-MN1 #LI-Remote Employment with ICON is contingent upon having the legal right to work in the country where the role is based. Rewards & Benefits ICON offers a competitive and comprehensive total rewards package designed to support your health, wellbeing, and career development. Benefits may include: - Competitive base salary and performance related incentives - Health and wellbeing programmes including medical, dental, and vision coverage where applicable - Retirement and pension plans - Life assurance and disability coverage - Employee assistance programmes and wellbeing resources - Learning and development opportunities through structured training and career pathways Benefits may vary depending on role and location.

United States
National Veterinary Associates logo

Associate Director of Medical Operations

National Veterinary Associates

United by the love of animals, National Veterinary Associates was founded in 1996 and describes itself as the largest owner of freestanding veterinary facilitie

Title: Associate Director of Medical Operations Location: United States Job Description: Location: Hybrid + Travel, California, United StatesAssociate Director of Medical Operations Ethos Veterinary Health Reports To: Director of Medical Operations Position Summary: The Associate Director of Medical Operations (ADMO) is a strategic and medical leadership role responsible for the medical quality, performance, development, and engagement of the DVM teams across a portfolio of hospitals. The ADMO will report to the Director of Medical Operations and will act as the direct link from Ethos medical leadership to the local medical teams. The ADMO partners with the Sr. Division Leader, Operational Support Manager, Hospital Directors, and local Medical Directors to drive financial success through operational efficiencies and high-quality medicine. The ADMO supports Medical Directors in the region to ensure delivery of high-quality, evidence-based medicine while aligning medical initiatives with organizational goals. The ADMO serves as a coach, mentor, and resource for hospital-level MDs and is instrumental in driving a culture of clinical excellence, patient safety, and team wellbeing. - MEDICAL INITIATIVES - Provides feedback and coaching to Medical Directors to provide the highest level of care for clients and patients. - Responsible for overseeing the development and maintenance of medical policies and medical SOP's for the hospitals. - Provides feedback and coaching to Medical Directors and DVMs to ensure quality client experience - Facilitate rounds cadence and participation; could include daily transfer rounds, mortality and morbidity as well as continuing education discussions. - Supports network wide safety and quality improvement initiatives. - Supports Ethos initiatives - Discovery and Science, implementing house officer programs - TEAM DEVELOPMENT - Meet monthly with each Medical Director in the region to establish and review operational goals and financial opportunities. - Encouraged to participate in the meetings when appropriate. - Provides recommendations to the hospital leadership team for new DVM contracts and contract renewals. - Advises Hospital Leadership Team on DVM efficiencies and collaborates with the Hospital Director to support staff efficiencies, scheduling and training opportunities. - Participates in goal setting and strategy to address engagement of the medical team. - Provides feedback to Medical Directors regarding initiatives to retain high caliber talent. - Advocate for Hospitals to participate in clinical trials through Ethos Science and Discovery. - Under owning business I added Oversees as site Medical Director in absence of medical director (highlight in red below) - RECRUITING - Ensure Hospital Leadership Team is providing a high quality candidate experience. - Encourage and promotes internal referrals for DVM recruiting. - Assist hospital leadership teams with DVM employment agreements. - Owns recruiting for Medical Directors at the site level in partnership with Sr. Division Leader - OWNING BUSINESS - Support Medical Director in strategic pricing to meeting overall annual price increase goal while maintaining competitive position in the market. - Provide input on laystaff labor opportunities where appropriate. - Oversees as site Medical Director in absence of Medical Director - Participate in renovation, expansion and denovo projects within the region when needed. - Guide hospital leadership team in management of rDVM relations. - Participate in Ethos enterprise initiatives. - COMMUNICATION - Assist Medical Directors with medically related client complaints as needed to achieve an equitable, timely resolution. - Assure resolution is achieved to maintain a positive relationship for the hospital. - Review DVM board complaints and lawsuits to assure timely management by Hospital Leadership team and Legal team involvement. - Coach the Medical Director to achieve superior client communication by DVM team. - REGULATORY COMPLIANCE - Assure compliance with controlled drug policy. - Ensure medicine is provided in compliance with Federal, State and regulatory requirements. Qualifications: - DVM or VMD degree required. - Minimum 7 years clinical practice experience, with 2+ years in a hospital medical leadership role. - Experience overseeing multiple sites or managing other medical leaders strongly preferred. - Demonstrated success in driving medical quality, team engagement, and operational outcomes. - Excellent communication, coaching, and conflict resolution skills. - Strong business acumen with the ability to interpret financial data and implement performance strategies. - Ability to travel between sites in the Bay area and visit the hospital in Santa Barbara approx every 8 weeks. Compensation: $225,000 with $50k equity and 20% Comp Ethos Veterinary Health is at the forefront of innovation and world-class medicine. As the premier network of over 140 specialty and emergency hospitals across North America, Ethos brings together a dedicated community of more than 1,500 specialized doctors providing care for nearly 2 million pets annually. The integrated and collaborative network of veterinary professionals utilize state-of-the-art technology and a scientific, evidence-based approach to deliver compassionate, unparalleled care and rewarding careers. Committed to revolutionizing veterinary medicine, Ethos sets the standard in veterinary excellence. Discover more at EthosVet.com. Our commitments to the industry, the profession, our teammates, and our patients, will not change, and in fact will be stronger than ever, as we forge new ground as this new dynamic community. At Ethos Veterinary Health, we want to make sure your experience connecting with us is seamless and straightforward. Here's what to expect when interacting with us: - We'll always reach out via verified LinkedIn profiles or emails ending in @ethosvet.com or @nva.com - All job opportunities and applications are hosted on our official careers site: careers.ethosvet.com - There is no cost or confidential information required to apply or be considered for a position Thank you for exploring opportunities at Ethos Veterinary Health! Ethos Veterinary Health offers a comprehensive benefits program including medical, dental, vision, a 401k with employer match, and paid time off (including sick time) for all eligible employees. The team can provide more information about compensation and benefits for your specific location during the process. For positions based in Colorado, EVH provides eligible employees with paid sick and safe leave and public health emergency leave in accordance with the requirements of Colorado's Healthy Families and Workplaces Act. Ethos Veterinary Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Pursuant to the San Francisco Fair Chance Ordinance, Los Angeles Fair Chance Initiative for Hiring Ordinance, and any other state or local hiring regulations, we will consider for employment any qualified applicant, including those with arrest and conviction records, in a manner consistent with the applicable regulation.

California
$0 / year
Bristol Myers Squibb logo

Head of Medical Capabilities

Bristol Myers Squibb

Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. With a single vision as inspiring as “Transforming patients’ lives through science™”, every BMS employee plays an integral role in work that goes far beyond ordinary.

Full TimeRemoteTeam 10,001

Role Description The Head of Medical Capabilities will help the medical team to prepare for the successful launch of RayzeBio’s Radiopharmaceuticals. This senior team member will build and execute strategy and tactical plans in a cross-functional, dynamic, and innovative environment. The role will actively shape the future of RayzeBio’s medical affairs organization, collaborating to develop foundational infrastructure and drive medical excellence. - Lead, mentor and guide SMEs within the medical capabilities and operations team, that may include: - Medical evidence generation operations (ISRs, Expanded Access Programs) - Medical publications and communications (medical information, promotional review) - Congress planning and execution - Medical education and sponsorships - Core medical operations (budget, contracts, systems, SOPs) - Define and execute a medical capabilities strategy across medical functions. This may include leveraging AI and digital platforms to: - Modernize medical information (Med Info) planning and delivery - Conduct Promotional review - Optimize congress planning and execution - Enhance medical content, communications, and publications workflows - Improve operational efficiency, compliance oversight, and data quality across medical affairs - Liaise strategically with BMS and other external partners to identify capability-building opportunities, share best practices, and unlock synergies in medical capabilities and operations. - Act as a senior medical affairs leader and capabilities subject matter expert, including monitoring emerging trends in medical innovation, compliance, and excellence; proactively apply learnings to elevate team performance. - Serve as the enterprise lead for medical AI and innovation, partnering cross-functionally with Medical Affairs, Commercial, Legal & Compliance, IT, and external collaborators to design, pilot, and operationalize advanced digital and AI-enabled solutions. Qualifications - Advanced scientific degree (Masters, PhD, MD) or related discipline. - 15+ years’ experience in medical roles, including team leadership within some medical functions; oncology product launch experience preferred. - Comprehensive knowledge of industry compliance and regulatory requirements. - Proven track record of accountability, operational excellence, and successful execution. - Strong analytical, communication, and interpersonal skills. - Demonstrated ability to work collaboratively and influence cross-functionally. - Skilled in strategic planning, annual planning, and budgeting. - Location in San Diego, CA or Princeton, NJ preferred; remote considered with travel to corporate office. Additional travel up to 25% as needed. Benefits - Health Coverage: - Medical, pharmacy, dental, and vision care. - Wellbeing Support: - Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP). - Financial Well-being and Protection: - 401(k) plan, short- and long-term disability, life insurance, accident insurance, supplemental health insurance, business travel protection, personal liability protection, identity theft benefit, legal support, and survivor support. - Work-life benefits include: - Paid Time Off: - US Exempt Employees: flexible time off (unlimited, with manager approval), 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees). - Phoenix, AZ, Puerto Rico and Rayzebio Exempt, Non-Exempt, Hourly Employees: 160 hours annual paid vacation for new hires with manager approval, 11 national holidays, and 3 optional holidays. - Based on eligibility, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs, and an annual Global Shutdown between Christmas and New Years Day.

United States
$241.8K - $316.4K / year