Physician Lead - Primary Care Clinical Operations

Scope of Responsibilities:
The Physician Lead of Primary Care Clinical Operations functions as dyad partner to the Director of Primary Care Operations. The Physician Lead will facilitate the development and implementation of operational programs and initiatives for CenterWell/The Villages under the direction of the Market Chief Medical Officer (CMO). In this role, the Physician Lead will participate in care management, utilization review, quality improvement, and related policy and practice initiatives. This position oversees clinical operations, quality and care management, ensuring that appropriate care levels are being administered as well as develops/oversees utilization management programs. The role also involves leading and mentoring teams, collaborating with medical staff, and staying current on regulations and guidelines.

The candidate should possess the following qualities and skills: good bedside manner, an empathetic and cooperative disposition, good clinical skills and fund of knowledge.

Job duties will include:

1. Leadership and Organizational Management:
   • Identify and monitor clinical risks that could otherwise impact the organization financially or operationally, through collaboration with Care Center Medical Directors and clinical operations and under the direction of the Market CMO.
   • With Care Center Medical Director and Primary Care Operations collaborate, review, support, and improve primary care clinician performance through understanding of individual care team context, effective use of data, and effective coaching to support the clinician and care teams.
   • Identify critical issues for high-risk patients during case reviews, in monthly clinical meetings with the Market CMO, Medical Directors, Care Center Managers, Operations, and Care Team Providers .
   • Spend 30% of time on direct Patient Care .
   • Familiarity with clinical performance dashboards and data tools to support performance analysis, outcomes focus, and targeted strategy development in collaboration with Care Center Medical Directors and Primary Care Operations.
   • Serves as designated Medical Director for Population Health programs.

1. Quality/HEDIS/STARS:

• • The Physician Lea d of Primary Care Clinical Operations manages the Director of Quality and Care Management providing assessment, guidance, and leadership to ensure performance expectations are met in support of organizational goals. Serves as clinical lead and provides clinical representation on the Quality Committee.
  • Works closely with Director of Quality and Care Management, Primary Care Operations, and clinical Care Teams to improve team-based key performance indicators, patient experience, clinical quality via HEDIS, meeting local and organizational goals.
  • Supports 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.

1. Dyad Partnership:
   • Dyad with Director of Primary Care Operations .
   • Maintains regular communication to align performance, strategies, and team communication, ensuring unified decision making and consistent messaging for cohesive leadership.
   • Works together toward common goals that support the mission, vision, and values and overall patient experience outcomes.

1. Conducts regularly scheduled one-on-one meetings with direct reports to review overall performance and discuss any concerns and/or new ideas/opportunities for performance or operational improvements.

1. Conducts annual performance evaluations for all direct reports.

1. Completes other duties as assigned by the Market Chief Medical Officer.

EDUCATIONAL/EXPERIENCE REQUIREMENTS:

1. Medical degree (MD or DO) from an accredited institution.
2. Board certification in a relevant specialty.
3. Minimum of 5 years of clinical experience, preferably in a leadership role.
4. Licensed to practice medicine in the state of Florida.