Vice President, Market Medical Practice

Job Description:

About the Role

The VP, Market Medical Practice (VPMMP), leads and provides clinical oversight to all clinical staff within the applicable market. The VPMMP works in partnership with the Market Vice President (MVP) to manage and execute on market goals including but not limited to, clinical operations, Total Cost of Care (TCOC), care model opex, and service performance goals at the market and partner level for a defined set of contracts.
The Market Dyad (VPMMP MVP) plays a critical role leading local teams and partnering with centralized functions to deploy, enhance, and maximize the strategic reach of Cityblock’s care model. In addition, the VP, Market Medical Practice will engage and work closely with senior leaders and executives across the organization in the operational, clinical, and strategic growth/business development spaces.
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.

Responsibilities

Strategy

• Together with the Market Vice President and other internal stakeholders, define a strategy and market goals that advance contract and company results. More specifically, the VP, Market Medical Practice will participate in the planning and execution of the Market Operating Plans and Medical Savings Plans.
• Develop and implement cost of care and quality 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 team.
• Control total cost of care by implementing the Cityblock Care Model, with a focus on decreasing unnecessary hospitalizations, emergency room visits, and speciality referrals.

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 Member Safety team.
• Participate in the delivery of educational content around complex care delivery including geriatrics, palliative care, chronic disease management, social determinants of health, 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.
• Foster clinical mentorship, support and engagement with market providers to minimize voluntary attrition.
• Ensure clinical cases of providers consistently meet evidence-based standards for complex primary care.
• Attend case conferences periodically as best fits the clinical/supervisory needs of the market 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.
• Establish and maintain network relationships in order to achieve clinical and operational goals through partnership and collaborative planning.

Operations

• Collaborate with the Market and Hub Operations teams to develop, implement, and monitor clinical workflows and quality initiatives, ensuring clinical needs are met through practice management, while flagging concerns or process issues to promote consistency, reduce variations, and improve efficiency.

Requirements for the Role

Education & License requirements

• Graduate from an accredited medical college (within the United States/Canada) or from an unaccredited medical college (outside of the United State/Canada)
• American Board of Medical Specialties certification in a major primary care specialty field of practice
• Certified in Basic Life Support for Healthcare Providers
• DEA licensure (or willingness to acquire)
• 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
• Credentialed Role: Yes

Clinical Experience

• 10 years experience in direct patient care, demonstrating a strong clinical foundation and knowledge of evidence-based medicine.
• Experience managing diverse and complex patient populations, including those with chronic conditions, comorbidities, and high-risk physical and behavioral health needs.
• Specialty Area: MD or DO in Internal Medicine, Family Medicine, Geriatrics, or similar specialty required

Leadership & Management Experience

• 7 years leadership experience in clinical or medical management roles with proven experience leading VBC initiatives, strong familiarity with quality measures (e.g., STAR ratings, HEDIS, NCQA), and in-depth knowledge of risk adjustment models and population health management.
• Experience leading multidisciplinary teams
• Experience managing financial metrics and operational processes in a value-based or risk-bearing healthcare setting. Ability to balance clinical quality with financial sustainability.

Additional Qualifications (Preferred but Not Required):

• Master’s Degree: MBA, MPH (Master of Public Health), or MHA (Master of Healthcare
• Administration)
• Experience with Telemedicine & Digital Health
• Experience with addressing Social Determinants of Health

Medical Clearance - evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation from vaccination if necessary

Proof of COVID Vaccination - proof of receipt of a primary COVID vaccination series, or have an approved medical or religious accommodation from vaccination if necessary

Communication Technology

• Utilize technology effectively to support members through telephone, text, virtual visit platforms, and scheduling tools, and to communicate with the interdisciplinary team via Slack, Google Docs, and other platforms.

Documentation & Care Delivery Platforms

• 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.

Counseling Methods

• Expert in Motivational Interviewing and Trauma informed Care principles.
• Expert in Change Management techniques.
• Able to model and teach these principles to the team.

Problem solving

• 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.

Flexibility

• Have a growth and learning mentality, ability to think outside the box, go outside the bounds of “traditional” responsibilities.
• Are adaptable to change and prepared for frequent, fast-paced changes and shifting priorities while also leading the market through those changes.
• 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 other evidence-based solutions, in line with enterprise strategy and programs.

Leadership

• Oversee and be accountable for the performance of in-market providers and other clinical performance.
• Able to communicate to the 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.
• You have led clinical care teams with a focus on Medicaid patient populations, interdisciplinary providers, and value-based care, having supported multi-site clinics and/or dispersed community-based teams across a geographic region
• You have proven leadership experience with driving successful performance in population health, quality improvement, cost and utilization management, care coordination, network engagement, and data-driven decision-making.

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.