Physician Lead

Responsibilities

• Oversee other clinicians, including Physicians, ARNP, and PAs.
• Participate in interviewing, hiring, and supervising clinical teams.
• Closely engage and communicate with clinicians and care teams, conducting regular onsite center visits, holding regular individual 1:1s and clinician pod meetings, and actively participating in leadership meetings.
• Understand, support, and improve primary care clinician performance through understanding of individual & care team context, effective use of data, and effective coaching of clinicians and care teams.
• Foster a culture of continuous learning, mentorship, and professional growth among clinical teams.
• Assist team with PTO management, CME time and reimbursement requests.
• Conduct performance reviews and real-time feedback in partnership with direct leader.
• Assist in resolving inquiries, requests, and complaints from patients and clinical staff.
• Deliver leading clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization.
• Review clinician charts to identify opportunities in care, ensuring clinical assessments are accurate and that performance improvement and coaching initiatives are precise.
• Participate as a backup on-call physician.
• Identify critical issues for high-risk patients during case reviews & other forums, and model and drive clinical excellence.
• Conduct root cause analysis of care opportunities from both individual, team, and systems perspectives and partner with clinical and operational colleagues to improve high-reliability care as a team.
• Ensure clinicians effectively co-manage high-risk episodes of care and patients with partnered Care Integration Team (CIT) resources and programs for transitions of care management (TCM), high-risk patient management (HRPM), and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization.
• Monitor and manage patient care and initiatives to improve team-based key performance indicators (KPIs), such as patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals.
• Deliver high-quality primary care and demonstrate a high degree of patient care ownership and clinical excellence in age-friendly senior primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management.
• Spend 50-80% of time on direct patient care, with remaining time dedicated to administrative responsibilities.
• Support clinical quality performance improvement in areas such as MRA, Stars, total cost of care to include prevention of unnecessary utilization through provider education and coaching.
• Promote team-based care delivery and foster collaboration across interdisciplinary teams.
• Optimize the network of preferred specialists – to optimize delivery of care for ongoing maintenance and cost saving opportunities.

Leadership & Organizational Management

• Dyad with operational leaders (CAs and/or Associate Operations Director) and Shared Services partners to align on clinical and operational goals, and strategic planning.
• Maintain regular communication to align on performance, strategies, and team communication and management, ensuring unified decision-making and consistent messaging for cohesive leadership.
• Partner with AOD and/or CA on strategic and operational insights and monitor clinical & financial performance and metrics.
• Review clinician schedules and incentive plans with AOD to align with patient care access and management goals.
• Organize team building activities.
• Manage performance/behavioral/disciplinary issues.
• Collaborate with HR Business Partners to execute HR initiatives.

Qualifications

• MD/DO with 2 or more years of clinical experience.
• Licensure requirements of the state of jurisdiction.
• Graduate of accredited MD or DO program of accredited university.
• Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine.
• This role is considered patient facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program.
• Must be passionate about contributing to an organization focused on continuously improving consumer patient experiences.