PACE Medical Director

Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion : PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.

Position Overview

The PACE Medical Director is a progressive physician leadership role responsible for achieving the best clinical outcomes possible for all PACE participants. The Medical Director is responsible for the delivery of participant care, clinical outcomes, and the implementation as well as oversight of the quality assessment and performance improvement program. This position requires excellent clinical, communication, and leadership skills spanning all areas of medicine, population health, social determinants, payer models, and compliance.

Essential Responsibilities :

Administrative : Estimated 50% at end of year 1

• Responsible for delivery of participant care, clinical outcomes, and oversight of quality for PacificSource PACE Organization.
• Act as the site clinical lead, with assistance from an Associate Medical Director, as required, for PACE locations.
• Understand and be accountable for the PACE financial model including the medical economics of capitated care.
• Direct oversight of site physicians and Advanced Practice Practitioners (APPs) at PACE Center(s).
• Participate in the hiring, termination, and management of PACE clinical team members including physicians and APPs.
• Work closely with and provide leadership support to the PACE Quality Manager, including development of the PACE Quality Plan.
• Work collaboratively with PacificSource business units including quality, compliance, Human Resources, and others to ensure high performance in accordance with PacificSource standards.
• Active participation in all CMS and State Audits including quarterly calls.
• Development of care pathways and clinical practice guidelines to effectively manage chronic health conditions and avoid preventable hospitalizations, emergency department usage, and premature skilled nursing facility placement.
• Direct patient care, including basic office-based, ambulatory procedures, telehealth, physical examinations, evaluation, and management based upon the needs of the PACE program and as directed by the PACE CMO.
• Develop and provide Age-Friendly and goal-concordant participant care.
• Direct oversight of students and residents of Medical Schools, residencies, Nurse Practitioner, and Physician Assistant programs.
• Fulfill all administrative duties on a timely basis, including record keeping in participant charts, annual performance evaluations, corrective action plans, and strategic planning.
• Work in close collaboration with the PACE Nursing leadership, Executive Director, and Clinic Manager on the delivery of care within the clinic and PACE participants’ homes.
• Conduct timely peer-to-peer discussions to clarify clinical information and to explain review outcome decisions across the continuum of care.
• Foster a safe and supportive environment conducive to the professional development of healthcare professionals in accordance with principles of High Reliability.
• Serve on various internal and external committees as required or designated.

Clinical : Estimated 50% at end of year 1

Supporting Responsibilities :

SUCCESS PROFILE

Work Experience : Minimum one-year experience working with the elderly or frail population required. Minimum five years of clinical experience as an attending physician preferred. Experience in a value-based healthcare organization, payer model, or closely related field preferred. Prior experience in PACE, Skilled Nursing, or a managed Medicaid setting is preferred. At least two years of physician leadership experience is preferred.

Education, Certificates, Licenses : Doctor of Medicine (MD or DO) with an unrestricted license to practice medicine by the Oregon State Board of Medicine required. Required board certification recognized by American Board of Medical Specialties (ABMS). Current certification in Basic Life Support or Advanced Cardiac Life Support required. Current and valid Drug Enforcement Agency Certificate required. Valid Oregon Driver’s License required. Certified Medical Director by the American Board of Post-Acute and Long-Term Care Medicine preferred.

Knowledge : Exceptional understanding of all areas of medical conditions, treatment, and care. Sensitivity to the health beliefs and needs of a diverse and aged population, and the ability to execute on an Age-Friendly care model. Excellent communication skills and the ability to relate to all members of the IDT as peers, combining confidence and humility.

Additional Requirements :

Each member of the PACE organization's staff that has direct contact with participants must meet the following conditions :

Competencies :

Environment : Work inside in general office and clinical settings with ergonomically configured equipment. Travel is required approximately 15% of the time.

Our Values :

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business :

Physical Requirements : Stoop and bend. Sit and / or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer : This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

J-18808-Ljbffr