Senior Medical Director - Policy & Outcomes

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Commitment to Quality

The IEHP Team is committed to incorporating IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks

• Competitive salary
• Hybrid schedule
• State of the art fitness center on-site
• Medical Insurance with Dental and Vision
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development
• Wellness programs that promote a healthy work-life balance
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

Education & Requirements

• Seven (7) years of post-residency experience in a recognized medical specialty or practice, which must have included at least (3) years of medical administrative experience required
• Minimum of five (5) years of managed care or health plan leadership experience with proven track record of leading high performing physician teams
• Experience working with clinical practice guidelines and evidenced based criteria sets
• Has exposure to working with regulatory agencies
• Medical Director for an IPA, medical group, or CA HMO highly desirable
• Medical specialty/practice experience preferably in the state of California
• Doctorate of Medicine from an accredited institution required
• Certification by one (1) of the American Specialty Boards required
• Completion of an accredited residency program required. Possession of an active, unrestricted, and unencumbered Physician’s and Surgeon’s Certificate issued by the State of California required- A physician certified in a state other than California may be employed prior to receipt of California certification provided that an application for a California physician and surgeon’s certificate is filed in the state of California prior to date of appointment.

Key Qualifications

• Valid California Driver’s License preferred
• Possesses in depth comprehensive knowledge of:
• - Managed Care principles
• - Administrative practices and procedures (including but not limited to: credentialing and risk management, rules regulations, policies, and standards related to managed care)
• - Principles of effective supervision and organization; methods, techniques, practices, principles, and literature in the broad field of medical sciences
• - The principles of medical practice in a variety of settings (inpatient, outpatient, subacute, etc)
• - Familiarity with local healthcare organizations and/or local practice experience is preferred
• Hightly Organized, Effective Communication Skills, Microcomputer applications such as Microsoft Word, Excel, and Access. Proven execution skills
• Assertive communicator
• Demonstrate effective leadership of other physicians and clinical staff
• A track record of leading with accountability is required
• Travel within California