Chief Medical Officer - Market - Montana Service Area

About The Role

This is a 0.6 FTE leadership position providing overall physician leadership to Providence St. Joseph Medical Center and Providence St. Patrick Hospital. The Chief Medical Officer, Hospitals (CMO) serves as the primary physician administrator for the medical staff, overseeing all clinical activities and ensuring the highest quality of medical care delivered by hospital practitioners and support staff. The CMO serves as the primary physician administrative liaison between the Medical Executive Committees (MECs), Board Quality & Safety Committee, and Providence MT Community Mission Board, and works collaboratively with the Providence MT executive team to enhance service throughout the entire continuum of care.

The CMO consults in the development and implementation of strategic initiatives consistent with Providence's strategic plan, helps implement medical staff partnerships and strategic plans, assists with hospital-based medical staff recruitment to achieve appropriate staffing levels, and ensures medical staff, medical leaders, and caregivers are well informed regarding Providence MT strategy, direction, current issues, and management response. This oversight includes joint accountability with Providence MT executive leadership for attainment of financial performance targets and for compliance with accreditation standards, organizational requirements, medical management strategies, disease management programs, and service improvement initiatives, including patient safety, quality of care, patient experience, and matters related to grievance resolution and medical staff performance.

What You'll Do

• Positions Providence MT as a service area leader for providing quality care through initiatives, education, and strong quality metrics programs.
• Partners with the Providence MT executive team and medical staff leadership on the education, development, and reporting of care processes and patient outcome measures.
• Ensures that Providence MT meets or exceeds quality standards, including patient experience standards. Oversees development of best practices that become standards for care.
• Participates in hospital, program-specific, and system-wide quality review and improvement programs through active involvement in identifying indicators, utilization of services, and appropriateness of treatment for clinical services.
• Leads the development and implementation of methods to monitor and analyze clinical care outcomes, track progress, and performance improvement for the programs and services.
• Works in collaboration with the Director of Quality, MEC, Board Quality and Safety Committee to address clinical quality concerns and gaps in performance expectations.
• Promotes best practices around staff engagement, patient experience, and value.
• Provides direction and support to the CFO and utilization management team, and quality management policies, criteria, and protocols. Implements medical policy/procedure guidelines, including evaluation of new medical procedures.
• Participates in retrospective review of problem areas identified from summary data of paid claims, admissions, authorization logs, grievance process and other sources where policy, utilization or quality issues are involved. Recommends intervention strategies or programs to rectify identified problems.
• Maintains confidentiality of records, patients, employee, or medical center information. Ensures all information and conversations regarding patients are secure from public access.
• Provides effective leadership by motivating staff and providers to produce excellence in their work both individually and as a team. Creates a positive work environment for all.
• Creates timely and direct communication channels to deal with service, clinical or performance issues, ensuring prompt and appropriate resolution.
• Serves as a role model in setting standard of practice and performance.
• Promotes and provides opportunities for both clinical and/or administrative staff professional development.
• Actively supports and incorporates the Providence mission and core values into daily activities. Treats others with respect, demonstrates excellence, justice and compassion in daily work and relationships with others. Is a steward of fiscal and human resources.
• Assists MEC in addressing physician behavior, impairment, and performance issues.
• Establishes regular meetings with the administrative and provider staff to monitor and evaluate internal operations and progress towards meeting annual goals.
• Serves as the key communications link to staff physicians, other providers, and dyad partner to the Providence MT executive team by relaying all information garnered from meetings and tying Providence-wide efforts and initiatives to the hospitals, programs, and department level performance.
• Participates actively in meetings within Montana and Providence, and acts as a liaison for communication and problem-solving both internally and externally.
• Participates in all mandatory staff meetings and in services and training programs to ensure continued understanding of all departmental policies, procedures, and performance improvement processes.
• Monitors clinical adherence to all applicable Providence MT policies and procedures, initiating prompt corrective action plans to address issues.
• Provides supervision to all direct reports, and assists in their ability, and all medical directors' ability to provide supervision and guidance to clinical and administrative staff.
• Supports the development and utilization of tools and other resources to analyze provider productivity and leads effort to address issues in conjunction with the CMO of PMG.
• Works with practitioners to analyze experience and practice patterns. Counsels and develops physicians who have quality shortfalls or questionable patterns of utilizing inpatient or ancillary services, referrals, and/or other medical services.
• Manages difficult peer situations arising from medical care review. Willingness to constructively confront providers about needed changes in practice patterns.
• Serves as a professional link between Providence St. Joe's and St. Pat's medical staff, departments, and Administration to resolve conflicts, facilitate communication, and engage in development of interdisciplinary treatment teams and approaches.
• As a member of the Montana senior leadership team, promotes collaboration and cooperation with independent physicians and business partners.
• Works in collaboration with the Community Mission Board (CMB) relative to CMB responsibilities and authority matrix.
• Participates in the annual budget process, setting reasonable financial goals and striving to maintain cost-effective performance while achieving the highest quality of care.
• Organizes and leads multidisciplinary process to develop, maintain, and update clinical pathways, guidelines, and care plans related to specialty.
• Supports and participates in the credentialing of providers and contracting process.
• Provides medical direction and oversight for the development, implementation and compliance with appropriate program policies, procedures, and standards of care.
• Consults and participates actively in all compliance efforts, including standards and recommendations of CMS, the Joint Commission, and applicable standards of relevant professional societies, and all applicable local, state, and federal laws and regulations.
• Maintains licensure and board certification.

Education & Credentials

• M.D. or D.O.
• Master's degree in health care management, Business Administration, or related field (preferred)
• Upon hire: Montana Physician License (Vendor Managed)
• Upon hire: Board certified in recognized medical specialty

Experience & Expertise

• 5 years of medical practice experience in managed care, group practice environment, and physician or healthcare leadership role
• Experience within a multi-site, matrixed integrated system (preferred)
• Experience in Quality Management and Resource Management in healthcare organizations such as Medical Group and/or Health Plans (preferred)

Professional & Leadership Capabilities

Mission & Culture: Exhibit servant leadership and champion upholding the integrity of the organization's mission to serve poor and vulnerable populations with the highest quality of care while pursuing the regional vision and strategy. Model behaviors consistent with organizational values. Mission, Vision, and Core Values of Providence are demonstrated and promoted daily. Open discussion and problem-solving, frequent regular communications and a respectful and caring approach to staff, patients, families, and medical staff is a trademark. Create a culture of excellence focused on value-based purchasing, patient experience, physician engagement, integrated business/clinical intelligence, and productivity.

Communication: Superior communication skills to interact effectively with PH&S's executives, medical staff, caregivers, Board, and all levels of PH&S management. Flexibility of thought and a willingness to actively listen to others regarding input and feedback. Demonstrates capacity to simplify ideas into easily understood concepts; articulates strategy and operational tactics to diverse groups of internal and external constituents; speaks and writes clearly and succinctly in a variety of communication settings and styles; delivers messages to the desired effect; connects the dots and provides clarity of thought process and intent; seeks input to clarify issues and potential actions.

Interpersonal Savvy and Political Astuteness: Relates well at all levels inside and outside PH&S, builds rapport and strong relationships internally and externally; is politically savvy; maintains composure under pressure; not easily discouraged. Diffuses tension through exemplary communication, uses diplomacy and tact to maneuver through complex political situations; sensitive to how people and organizations function; tenacious with the courage of conviction to manage through resistance and challenges.

Leadership Style: A strong, confident, and decisive leader with clinical credibility. Exudes a polished, professional image and calm executive presence.