Director, Medical

Job Title: Director, Medical

Labor Grade:

Department: Health Fund – Clinical Population Health

Reports To: Director, Health Fund

FLSA Status: Exempt

About Us:

Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues.

The 32BJ Health Fund is a multiemployer labor-management fund that provides health benefits to members of SEIU Local 32BJ and their dependents. The Fund is self-insured and is responsible for efficiently managing its resources. To ensure that the Fund can deliver cost-effective high-quality care, the Fund has embraced innovative purchasing strategies that encourage plan participants to use high quality primary care and other cost-effective benefits and providers. The Fund dedicates significant resources to actively managing its plans and provider networks to operationalize this strategy. The Fund also invests in innovative policy solutions that will lower healthcare costs for the Fund and its plan participants.

For 2023 and beyond, we will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders, and the consensus is there is plenty more work to be done.

Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A

To learn more about the 32BJ Health Fund initiatives, please visit: 32BJ Health Fund Insights

Position Summary:

Reporting to the 32BJ Health Fund Director, the Director, Medical will spearhead clinical strategy and oversight for a health plan, focusing on population health management. This senior leadership role is pivotal in driving the clinical aspects of population health programs for 32BJ Health Fund, ensuring high-quality, cost-effective care across diverse patient populations. The Medical Director will work collaboratively with internal teams, healthcare providers, and community stakeholders to enhance care delivery and health outcomes.

Key Responsibilities:

• Strategic Planning: Work closely with 32BJ Health Plan leadership to develop a multi-year strategic plan.
• Clinical Leadership: Provide strategic direction and clinical leadership for population health initiatives, including chronic disease management, preventive care, and integrated care models. The Medical Director should serve as the subject matter expert for all clinical care issues.
• Program Development: Design, implement, and oversee population health programs aimed at improving patient outcomes and reducing healthcare costs. Ensure programs are evidence-based and aligned with best practices.
• Data Analysis: Utilize healthcare data and analytics to identify trends, gaps, and opportunities in population health. Leverage data to drive clinical decision-making and improve program effectiveness.
• Quality Improvement: Develop and monitor quality improvement initiatives, ensuring adherence to clinical guidelines and regulatory standards. Implement strategies to enhance care quality and patient satisfaction.
• Collaboration: Work closely with internal teams (e.g., member and health services, quality assurance, analytics) and external stakeholders (e.g., providers, community organizations) to coordinate and optimize care delivery, and Union leadership.
• Education & Staff Training: Provide clinical expertise and training to health plan staff and network providers. Foster a culture of continuous learning and improvement.
• Clinical Policy & Protocol Development: Develop and enforce clinical policies, protocols, and standards that support population health objectives. Ensure compliance with industry regulations and accreditation requirements.
• Innovation: Stay abreast of advancements in population health management, value-based care models, and clinical practices. Advocate for and implement innovative approaches to enhance patient care and health outcomes.
  
  
  

Qualifications & Core Competencies:

• Education: MD or DO from an accredited medical school required, additional education such as MBA or MHA preferred.
• Board Certification: Board certified in a relevant specialty, preferably Family Medicine or Internal Medicine.
• Experience: Minimum of 5 years of clinical practice experience, with a strong focus on population health management, value-based care, and quality improvement. Prior experience as a Medical Director/Chief Medical Officer preferred.
• Leadership Skills: Proven experience in a senior leadership role within a clinical setting or health plan. Demonstrated ability to lead multidisciplinary teams and manage complex projects.
• Adaptability: Flexibility to adjust to changing healthcare environments, regulations, and organizational needs. Ability to remain calm under tight deadlines.
• Empathy: Understand the emotional and psychological needs of patients. Build a supportive and compassionate work environment.
• Analytical Skills: Proficiency in healthcare data analysis, performance metrics, and population health management tools.
• Communication: Excellent interpersonal and communication skills, with the ability to engage and influence diverse stakeholders.
• Ethical & Integrity Attributes: Uphold the highest standards of medical ethics and patient care.
• Certifications: Additional certifications in population health or healthcare management (e.g., Certified Professional in Healthcare Quality) are a plus.
  
  
  

Work Hours & Occasional Travel Responsibilities:

• Environment: Office-based with occasional travel to healthcare facilities, community organizations, and provider meetings.
• Hours: Full-time position with potential for occasional after-hours or weekend work as needed.
  
  
  

Salary Range:

$280000.00 To 300000.00 (USD) Annually