Medical Director

Job Overview
The Medical Director provides full managerial responsibility for the planning, development, organization, integration, administration, and evaluation of clinical services for the Little Shell Health Clinic (LSHC). The Medical Director provides clinical leadership to interdisciplinary teams, oversees customer-owner care, and ensures compliance with all healthcare regulations and standards. The Medical Director will serve as a mentor and resource to the clinical staff while driving quality improvement and maintaining the highest standards of medical practice.

Responsibilities

• Provide clinical oversight and leadership to all LSHC nurse practitioners, physician assistants, medical assistants, and other clinical staff.
• Supervise and collaborate with advanced practice providers, including signing collaborative practice agreements and conducting periodic chart reviews.
• Ensure all medical practices adhere to state and federal laws, ethical standards, and best practice guidelines.
• Participate in hiring, training, and evaluation of clinical personnel.
• Lead quality improvement initiatives, including reviewing clinical outcomes and implementing strategies to improve customer-owner care.
• Act as the liaison between the medical team and administrative leadership to align clinical goals with organizational strategy.
• Develop and enforce policies and procedures that support high-quality, cost-effective, and customer-owner-centered care.
• Stay current with medical and regulatory developments and implement necessary changes in clinical operations.
• Maintain small panel of customer-owners who require clinical expertise above advanced practice physician’s scope of practice.
• Collaborate with department leaders and external contractors to optimize workflows, operational processes, and overall functioning of the clinical site.
• Provide guidance and oversee the implementation of new programming related to improved clinical care and enhanced health outcomes.
• In conjunction with department leaders, establish, administer, and maintain nonclinical and clinical policies and procedures that encompass all aspects of the clinical practice to ensure efficient and effective site operations.
• In collaboration with the Director of Operations, assess and respond to customer-owner complaints that directly involve safety, infection prevention control, HIPAA violations, ethics concerns, etc.
• Case conference with all levels of clinical staff to ensure customer-owner treatment plans are appropriate for the level of care and complexity presented.
• Prepare and submit timely and accurate reports to LSHC administration, public health officials, Little Shell government representatives, funders, and other entities and individuals, as required.
• Ensure compliance with state and federal laws and regulatory requirements applicable to the clinical setting such as CLIA requirements, HIPAA, safety/risk management, emergency preparedness, standards of care, OSHA, infection control standards, and scope of clinical practice.
• Participate in performance optimization and risk management activities as required.
• Supervisory responsibilities include signing and submitting timecards, purchase requests, time off requests, minor disciplinary actions, performance evaluations, and other managerial duties.
• Provide exceptional customer service and model the mission of the LSHC when interacting with internal and external stakeholders, promoting a positive image for the health clinic.
• Other duties as assigned.

Training & Skills

Must possess at least ten years’ experience as a Doctor of Medicine. Experience working with American Indian/Alaska Native, minority, or under-resourced communities is desired. Experience working with or for an Indian Health Care Provider would be preferred.

Knowledge

• Mastery of, and skill in applying, expertise in advanced patient care services, theories, concepts, principles, and methods sufficient to apply new theories and/or new advanced developments to solve complex healthcare problems not susceptible to treatment by accepted/traditional methods and to function as a recognized authority.
• Expert knowledge in medical evaluations, diagnosis, treatment, and follow-up of patients with suspected illnesses and/or rare conditions.
• Expert knowledge and ability to apply new scientific and/or technological procedures in the evaluation of complex patient diagnosis.
• Knowledge of medical quality assurance.

Skills

• Experience in leading cross-functional teams and driving operational efficiencies in a clinical environment.
• Skill in overseeing operational processes, quality improvement, patient care protocols, and regulatory compliance.
• Exceptional verbal and written communication skills to interact effectively with all levels of staff, leadership, customer-owners, and external stakeholders. Strong ability to communicate complex information clearly and empathetically.
• Strong analytical and decision-making skills with the ability to assess complex situations, identify problems, and implement effective solutions that improve operational efficiency and patient care outcomes.

Abilities

• Ability to monitor the quality of work performed by all levels of nursing staff and develop performance standards.
• Ability to evaluate and improve clinical workflows to enhance productivity and reduce costs.

Qualifications

• Doctor of Medicine (MD) from an accredited institution. Board certification(s) in Family Medicine, Internal Medicine, or Pediatrics is preferred.
• Requires a current license to practice as a registered Doctor of Medicine.
• Maintain current BLS (CPR and AED) license for Healthcare Providers certification.

Physical Demands

Essential job duties may require regular lifting, pushing and pulling up to 10-20 pounds, and the ability to sit for long periods. The ability to hear normal conversational discussion and near and far visual clarity is required.

Conditions of Employment

• Candidates must be able to pass a drug test at the time of hire and throughout employment.
• Must pass a pre-employment criminal background check.
• Candidates must possess a valid driver’s license, no alcohol related conviction, and meet the insurability requirements of the Tribe.

Indian Preference

The position is subject to the Little Shell Tribe’s Indian Preference Policy.

About the Little Shell Health Clinic

The Little Shell Tribe of Chippewa Indians of Montana (Tribe) will assume operations of the Little Shell Health Clinic, located in Great Falls, MT, on Tuesday July 1, 2025. The Tribe is seeking to fill key positions to support operations at the Clinic before, during, and after this transition. We are looking for team members who are skilled, collaborative, and flexible.

The Clinic provides outpatient services to American Indian and Alaska Native citizens including, but not limited to, family medicine, pediatric care, behavioral health, laboratory services, pharmacy, radiology, optometry, and dental care. The Clinic currently operates Monday-Friday, 8:00 am to 5:00 pm.

Job Types: Full-time, Part-time, Contract

Pay: From $270,000.00 per year

Expected hours: 8 – 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Paid time off
• Professional development assistance
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Supplemental Pay:

• Signing bonus

Work Location: In person

Salary : $270,000