What are the responsibilities and job description for the Medical Director - Clinical Services position at CareOregon?

Career Opportunities : Medical Director - Clinical Services (24590)

verp-client : SMRF Globals
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Enter a list of words, and we\u2019ll search for them in the job title, or you can choose to search for them also within the job description.

Tips : \n \n

We will find results for any words listed

in the search

Results beginning with words searched will also be returned. Ex : A search for \u201cManage\u201d will return \u201cmanage, manager, management\u201d etc.

To find an exact phrase, surround your search phrase with double quotes (\u201d \u201c). Ex : \u201csenior manager\u201d, or check \u2018Exact match\u2019.

Advanced search : \n \n

Use AND, OR, NOT, and () to combine search terms. Ex : Sales AND engineer

finds only jobs that have both terms. \n

Sales OR engineer

finds all jobs that have either.

n (Sales AND Engineer) NOT Manager

finds jobs that contain both \u201cSales\u201d and \u201cEngineer\u201d but not \u201cManager\u201d.

Use question mark (?) for an unknown letter. Ex : Thomps?n finds Thompson, Thompsen, Thompsan, etc.

Use tilde (~) to find similar spellings. Ex : roam~ finds roam, roams, room, road, roads, etc.

Do not use advanced search options if you have checked \u2018Exact match\u2019.

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verp-client : SMRF Globals

function(w){function set(k,v){Object.assign(k==='window'?w : (w[k]=w[k]||{}),v)}set("MSGS",{RECRUITING_CAREERS_SAVED_APPLICATIONS : "Saved Applications",RECRUITING_CONTINUE_WITH_DRAFT_APPLICATION : "Continue",RECRUITING_DRAFT_DELETE : "Delete Application",RECRUITING_DRAFT_OPEN_APPLICATION : "Apply",RECRUITING_DRAFT_SELECT : "Select",RECRUITING_OPEN_NEW_APPLICATION : "Start Over",RECRUITING_OPEN_NEW_APPLICATION_USING_LINKEDIN : "Use LinkedIn\u2122 Profile Data",RECRUITING_PLEASE_SELECT_YOUR_OPTION : " You have an existing job application for this requisition

click \u201cContinue\u201d to use user saved application.

click \u201cStart Over\u201d for a new application (this will delete your saved application).

RECRUITING_SAVED_APP_VS_LINKEDIN_DATA : " You have an existing job application for this requisition

click \u201cContinue\u201d to use user saved application.

click \u201cUseLinkedIn\u2122 Profile Data\u201d for a new application (this will delete your saved application).

window)

verp-client : SMRF Globals

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verp-client : SMRF Globals

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set the current state so when the form is submit for lang changed, it keep the same state. setField('career_ns', 'job_listing'); chain(window, "onload", function() { var saveRedirected = document.getElementById('joblist_jobSaveRedirect').value;var applyRedirected = document.getElementById('joblist_jobApplyRedirect').value; var isApplyViaLinkedIn = false; isApplyViaLinkedIn = document.getElementById('isApplyWithLinkedIn').value; if (saveRedirected == 'saveRedirected') { var url = " / rcmcjsup?m=saveJobReq&company=C0007187026P&sr=true&"; url = "career_job_req_id=" 24590; url = "&career_job_req_sec_key=" document.getElementById('career_job_req_sec_key').value; if (submitExternalAjaxQuery(url, ' / career?company=C0007187026P&loginFlowRequired=true&lang=en_US')) { alert(items.update_msg); return true; } setField('joblist_jobSaveRedirect', 'joblist_' 'jobSaveRedirect'); } if (applyRedirected =='applyRedirected') { var popup = new RCMExtDraftAppDialog('24590', '', isApplyViaLinkedIn); } }) function applyJobReq(isUserLoggedIn, jobReqId, jobReqSecKey, isApplyWithLinkedIn, elementId){ if (isUserLoggedIn == true || isUserLoggedIn == 'true') { var popup = new RCMExtDraftAppDialog(jobReqId, jobReqSecKey, isApplyWithLinkedIn, elementId); } else { setField('joblist_jobApplyRedirect', 'applyRedirected'); setField('career_job_req_sec_key', jobReqSecKey); setField('career_job_req_id', '24590'); setField('navBarLevel', 'JOB_SEARCH'); setField('career_os', 'job_listing'); setField('isApplyWithLinkedIn', isApplyWithLinkedIn); setFieldAndSubmit('career_ns','job_save'); } } function saveJobReq(isUserLoggedIn, jobReqId, jobReqSecKey) { var form = document.forms[0]; if (isUserLoggedIn == 'true') { var url = " / rcmcjsup?m=saveJobReq&company=C0007187026P&sr=true&"; url = "career_job_req_id=" jobReqId; url = url "&rcm_site_locale=" "en_US"; url = "&career_job_req_sec_key=" jobReqSecKey; if (submitExternalAjaxQuery(url)) { alert(items.update_msg); return true; } } else { setField('joblist_jobSaveRedirect', 'saveRedirected'); setField('career_job_req_id', '24590'); setField('navBarLevel', 'JOB_SEARCH'); setField('career_os', 'job_listing'); setField('career_ns', 'job_save'); setField('pvt_hash_key', ''); setField('pvt_hash_value', ''); form.submit(); } } function JobListingDpcs2Handler(config) { RCMDpcs2Handler.call(this, config); } extend(JobListingDpcs2Handler, RCMDpcs2Handler, { accept : function(acceptJson) { var params = this.getConfig().params; proceedWithSaveApply(params); } }); function checkDpcs2AndProceed(params) { var isPublicIntranet = false; if(params.isUserLoggedIn){ checkDpcs2AcceptanceBeforeProceeding({ createDpcs2Handler : function(dpcs2AcceptedOrDeclinedStatusFromServer) { return new JobListingDpcs2Handler( {dpcs2AcceptedOrDeclinedStatusFromServer : dpcs2AcceptedOrDeclinedStatusFromServer, params : params}); } }, isPublicIntranet); } else { proceedWithSaveApply(params); } } function proceedWithSaveApply(params){ if(params.evtSrc == 'Apply') { applyJobReq(params.isUserLoggedIn,params.jobReqId, params.jobSecKey, params.isApplyWithLinkedIn, params.elementId); } else if(params.evtSrc == 'SaveJob') { saveJobReq(params.isUserLoggedIn,params.jobReqId, params.jobSecKey, params.saveRedirect); } } function showMFieldDialog(contextId,values, config){ if(!this._valueBubble){ this._valueBubble = new MultipleValueBubble(values); }else{ this._valueBubble.setValues(values); } if(!config) { / / default values config = { refocusId : contextId, closeOnEsc : true }; } SFInfoInContext.show(this._valueBubble,contextId, config); var focusElement = SFDom.getElementsByClassName("content", "", "sfOverlayMgr"); if(focusElement[0]) { focusElement[0].setAttribute("tabindex", "0"); focusElement[0].setAttribute("role", "note"); SFDom.setFocus(focusElement[0].id); } } function hideMFieldDialog(contextId){ SFInfoInContext.hide(contextId); } function handleKeyDown(contextId, values, evt){ var key = SFDOMEvent.getKeyName(evt); switch (key) { case "RETURN" : case "SPACEBAR" : SFDOMEvent.preventDefault(evt); showMFieldDialog(contextId, values, { refocusId : contextId, closeOnEsc : true }); break; } }

Requisition ID 24590 - Posted

12 / 05 / 2024 - CareOregon - Full Time - Permanent - Portland - Multi Location (2)

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Position Title : Medical Director - Clinical Services

Requisition # : 24590

Department : Department : Medical Management Administration

Title of Manager : Sr Medical Director - Clinical Services

Supervises : Non-Supervisory

Exemption Status : Exempt

Pay and Benefits : Estimated hiring range $283,150 - $346,000 / year, 10% bonus target, full benefits. www.careoregon.org / about-us / careers / benefits

Posting Notes : Posting Notes : This is a hybrid position that will include travel to the Portland office and Intermittent travel to Tillamook, Clatsop, and Columbia counties.

Job Summary

This position is responsible for leading a multidisciplinary, matrixed team in supporting both internal staff, as well as external network and other partners, in implementing effective care management, quality, and other clinical practice improvement initiatives as assigned, in support of the Quadruple Aim. Direct support may be focused on Medicaid or Medicare lines of business in a Coordinated Care Organization (CCO) environment.

Work includes four key areas :

Best practices and network support with focus on integration (physical health, behavioral health, oral health, social health)

Data support and translation with focus on quality improvement

Population health framework including strong equity focused approach and resource stewardship for vulnerable populations (including value-based payments)

Regional relationships and collaboration in a CCO environment

This position may be assigned to lead medical management, clinical informatics, behavioral health, and / or population health initiatives for the organization including clinical quality in the provider network.

Essential Responsibilities

In partnership with the Senior Medical Director and / or other Medical Directors, develop, implement, and manage clinical programs to address member needs.

Implement, direct, and oversee utilization, case, disease, and / or quality management programs.

Develop and implement programs for supporting participating physicians in optimizing quality management and utilization management.

Represent the health plan in applicable activities including medical and other professional organizations; participate in activities that enhance CareOregon's image within the community. Serve as a representative and medical spokesperson for the plan in support of CCOs, Medicare, contract negotiations and / or other provider expansion activities.

Provide medical support for Care Management activities.

Provide oversight of benefit determinations and appeals for medical and pharmacy as assigned by Senior Medical Director or CMO.

May partner with CCO leadership team to develop, implement, direct, and oversee programs that provide clinical strategy and interventions to CCO clinical systems.

May plan, participate in, or lead CCO Clinical Advisory Panel (CAP), depending on CCO / regional needs.

Support and implement programs for network providers to share best clinical practice using of population / panel management and performance data on clinical quality and utilization.

Organizational Responsibilities

Perform work in alignment with the organization's mission, vision and values.

Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.

Strive to meet annual business goals in support the organization's strategic goals.

Adhere to the organization's policies, procedures and other relevant compliance needs.

Perform other duties as needed.

Knowledge, Skills and Abilities Required

Medical policy knowledge and skills as related to quality, case and disease management, credentialing activities and utilization management

Clinical knowledge of the management of diverse medical problems, including impact of social concerns

Understanding of health equity and ways social inequities impact health

Basic knowledge of applicable regulatory and contractual requirements for Medicaid, Medicare and commercial insurance

Familiarity with guideline development, outcomes management, population health improvement, disease management and cost effectiveness and cost analysis studies

Awareness of physician / provider payment issues, physician practice models and total quality and continuous quality improvement concepts

Excellent communication and collaboration skills for work with network providers and internal employees; ability to effectively express ideas and gain acceptance

Ability to implement new and improved approaches to improvement of care and service quality, and to Care Management activities performed by CareOregon

Ability to implement clinical and wellness programs to address the needs of high-risk members

Ability to create excitement and bring individuals and teams together into a cohesive unit

Ability to lead and / or work effectively as part of a cross-functional, matrixed team and foster an environment where change is embraced and supported

Ability to deal with issues and problems systemically

Ability to plan, set priorities, delegate effectively and utilize time efficiently

Ability to apply innovative and creative approaches to improve health care delivery

Skilled in quality management techniques to apply in a large, organized managed care setting

Commitment to improving access and quality of care to the underserved and uninsured

Appreciation of cultural diversity and the needs of serving a diverse patient population

High degree of diplomacy, credibility and persuasiveness to consistently cultivate effective working relationships

An organized, disciplined, hands-on and process-oriented leader

Results-oriented decision-maker with the ability to balance diverse priorities

Proactive and action oriented; ability to drive performance

Physical Skills and Abilities Required

Lifting / Carrying up to 10 Pounds

Pushing / Pulling up to 10 Pounds

Pinching / Retrieving Small Objects

Crouching / Crawling

Reaching

Climbing Stairs

Repetitive Finger / Wrist / Elbow /

Shoulder / Neck Movement

0 hours / day

More than 6 hours / day

Standing

Walking

Sitting

Bending

Seeing

Reading

Hearing

Speaking Clearly

0 hours / day

More than 6 hours / day

Cognitive and Other Skills and Abilities

Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.

Education and / or Experience

Required :

Board-certified medical doctor or doctor of osteopathy in Family Medicine, Internal Medicine, or Pediatrics

Licensed physician (MD or DO) in the State of Oregon

Minimum 3 years' physician experience

Minimum 3 years' leadership experience in a managed care organization or practice setting

Preferred

Administrative graduate degree, certificate of educational achievement in medical administration, or equivalent

Working Conditions

Environment : This position's primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis) :

Inside / office Clinics / health facilities Member homes

Other_________________________________________

Travel : This position may include occasional required or optional travel outside of the workplace, in which the employee's personal vehicle, local transit, or other means of transportation may be used.

Equipment : General office equipment

Hazards : n / a

Li-Hybrid

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.

Veterans are strongly encouraged to apply.

We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

Visa sponsorship is not available at this time.

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var emailDailogBox = null;var captcha = null;var emailJobReqId = null;var emailSourceButton = null;var jobReqEmailLocale;var sendButton = null;var isCaptchaDisable = gebi('isCaptchaDisable').value;var isOldCaptchaEnabled = gebi('isOldCaptchaEnabled').value;var refocusElementId = null;function emailJobReq(jobReqId, sourceButton, title, emailLocale, refocusId) { emailJobReqId = jobReqId; emailSourceButton = sourceButton; jobReqEmailLocale = emailLocale; refocusElementId = refocusId; / / gebi('jobtitlediv').innerHTML = title; juic.$('jobtitlediv').innerHTML = '

Job title : ' juic.maybeEscapeHTML(title) '

if (emailDailogBox == null) { var height = '510px'; if(isCaptchaDisable == true || isCaptchaDisable == 'true'){ height = '400px'; } emailDailogBox = new BasicDialog('emailBox', '522px', height, true, {focusId : "emailTitleText", xbutton : "closeAbout", enterkey : true, useIconFonts : true}); } emailDailogBox.show(sourceButton); gebi(emailBox.id).style.overflow = 'visible'; var xbutton = SFDom.getElementsByClassName("container-close"); if(xbutton[0]){ xbutton[0].setAttribute("id","xbuttonId"); xbutton[0].setAttribute("tabindex","0"); / / xbutton[0].setAttribute("onblur","setFocus(event);"); xbutton[0].setAttribute('title','Close Button'); / / adding event listener SFDOMEvent.addListener(xbutton[0], "keypress", function closeButtonHandler(e) { if (e.keyCode === 13 || e.keyCode === 0 || e.keyCode === 32) { SFDOMEvent.preventDefault(e); emailDailogBox.hide(emailSourceButton);if(refocusElementId) {SFDom.setFocus(refocusElementId); / / SFDOMEvent.removeListener(xbutton[0],'keypress',xyz);} } }, false); } / / clear error message string gebi('emailerrorstr').innerHTML = ''; hide('emailerrors'); hide('emailsuccess'); gebi('mailjob_message').value='Someone on CareOregon\u2019s Career page thought you might be interested in applying for a position.\u00A0For more information and to apply, please follow the link at the bottom of this message. \u00A0If you have any questions, please email recruitment@careoregon.org.\u00A0'; if (sendButton) { sendButton.disabled = false; SFDom.addClass(sendButton.parentNode.parentNode, 'active'); gebi('closeAbout').innerHTML = 'Cancel'; }if(isCaptchaDisable == 'false' || isCaptchaDisable == false){ if (isOldCaptchaEnabled == 'false' || isOldCaptchaEnabled == false) { if(!captcha ){ setTimeout(function(){ var element=document.getElementById('captchaImg'); var params={ publicKey : "6Leoa0YUAAAAAFSl7X1Yi8BO1n3y6KsniTYeTfmO", locale : "en", element : element, _isRequired : "true", theme : "light", type : "image", size : "normal", tabindex : "0", renderType : "explicit" } SFreCAPTCHA.initRecaptcha(params); SFreCAPTCHA.addEventListener('captchaResponseReady',this,"handleCaptchaResponse"); if(SFreCAPTCHA.getResponse()!=null) { SFreCAPTCHA.response=""; } },500); captcha=true; } else { setTimeout(function(){ SFreCAPTCHA.reload(); if(SFreCAPTCHA.getResponse()!=null) { SFreCAPTCHA.response=""; }},500); } } if (isOldCaptchaEnabled == 'true' || isOldCaptchaEnabled == true) { getNewCaptcha(); } }}function handleCaptchaResponse(event) { var response=SFreCAPTCHA.getResponse();}function sendHandler(_sendButton) { sendButton = _sendButton sendButton.disabled = true; SFDom.removeClass(sendButton.parentNode.parentNode, 'active'); var params = [];var postBody=[]; / / here build JSON object with 7 parameters and send it to cjsup params.push('?m=FBEMailJobReq'); params.push('&', 'company', '=', 'C0007187026P'); params.push('&', 'site', '=', encodeURIComponent(gebi('site').value)); params.push('&', 'rcm_site_locale', '=', 'en_US'); params.push('&', 'mailjob_job_req_id', '=', emailJobReqId); postBody.push('mailjob_friend_email', '=', encodeURIComponent(gebi('mailjob_friend_email').value)); params.push('&', 'mailjob_email_locale','=', jobReqEmailLocale); if(isCaptchaDisable == 'false' || isCaptchaDisable == false){ if (isOldCaptchaEnabled == 'true' || isOldCaptchaEnabled == true) { params.push('&', 'mailjob_captcha_value', '=', encodeURIComponent(gebi('mailjob_captcha_value').value)); params.push('&', 'mailjob_user_captcha_value', '=', encodeURIComponent(gebi('mailjob_user_captcha_value').value)); } else { var response=SFreCAPTCHA.getResponse(); params.push('&', 'recaptcha_response_field', '=',response ); } } postBody.push('&', 'mailjob_message', '=', encodeURIComponent(gebi('mailjob_message').value)); params.push('&', 'mailjob_is_public_intranet', '=', 'false'); params.push('&', '_s.crb', '=', '25HgX/JGEauFQB6VjFP8IJXtrm/LkYX5SJ69lfZKWuA='); / / recruiting.js should be included by now.. var url = " / rcmcjsup" params.join(""); var errorFree = true; if (url.length >

2048) { errorFree = false; var params_length = []; / / here build JSON object with 4 parameters, including a parameter specifying the url exceedance and send it to cjsup params_length.push('?m=FBEMailJobReq'); params_length.push('&', 'company', '=', 'C0007187026P'); params_length.push('&', 'rcm_site_locale', '=', 'en_US'); params_length.push('&', 'mailjob_job_req_id', '=', emailJobReqId); params_length.push('&', '_s.crb', '=', '25HgX/JGEauFQB6VjFP8IJXtrm/LkYX5SJ69lfZKWuA='); params_length.push('&', 'mailjob_beyond_length', '=', encodeURIComponent(url.length - 2048)); url = " / rcmcjsup" params_length.join(""); / / Send ajax query to get a message of how much characters need to be removed. submitExternalAjaxQuery(url); gebi('emailerrorstr').innerHTML = items[0]; show('emailerrors'); hide('emailsuccess');gebi('emailerrorstr').focus(); } if (errorFree && submitExternalAjaxQuery(url,null,true,postBody)) { if ("undefined" != typeof items) { for (var i = 0; i < items.length; i ) { if (errorFree) { gebi('emailerrorstr').innerHTML = ''; show('emailerrors'); } errorFree = false; gebi('ema...

Salary : $283,150 - $346,000

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