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Regional Medical Officer (Care...

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Job Summary

Company
Anthem
Location
Fort Worth, TX
Industries
Other/Not Classified
Job Type
Full Time
Employee
Career Level
Experienced (Non-Manager)
Job Reference Code
4298_135301

Regional Medical Officer (CareMore) #135301 - Dallas - Fort Worth, TX

About the Job

Description


Your Talent. Our Vision. At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, it's a powerful combination. It's the foundation upon which we're creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.
CareMore is entering a new growth phase, as a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead clinical teams to care for the most complex patients, serving over 150,000 patients in six states. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience.
CareMore's Primary Care & Collaboration division oversees strategy, operations, and care delivery in our comprehensive primary care business (Des Moines, IA, Memphis, TN, and New Haven/Hartford, CT) where CareMore builds and runs capitated primary care medical groups and provider collaboration business (Atlanta, GA), where CareMore deploys managed care and care delivery capabilities in partnership with provider groups and health systems. The Primary Care & Collaboration division currently serves over 40,000 complex Medicare and Medicaid patients in four states. We are rapidly evolving our model to effectively engage and care for complex patients and are building a team of passionate and execution-minded leaders dedicated to this mission. You can learn more about CareMore's transformative approach to care here:
The Regional Medical Officer, CareMore Primary Care (Dallas/Fort Worth) will serve as the physician leader for the CareMore Primary Care market in the Dallas / Fort Worth, Texas area, focused on providing comprehensive primary care for managed Medicaid members with complex needs. The Regional Medical Officer (RMO) will bring CareMore's history of proven impact in Medicare and Medicaid populations to the area, leading clinical design & strategy, building and leading a clinical team capable of delivering comprehensive care for complex patients, and constantly innovating to deliver high quality outcomes and experience of care. The RMO will be responsible for providing strategic, clinical, and operational direction to a team of physicians, NPs, case management, and other clinicians and working collaboratively with the business/operational leader of the market in a dyad leadership model. The RMO will directly oversee the market clinical team and directly care for CareMore patients 50% of his or her time, through practice as either as an extensivist or primary care clinician. This is a significant clinical design and leadership role in an care delivery organization with proven results and a national footprint. The RMO will report to CareMore's Chief Medical Officer, New Markets, based in NY, and join a national cadre of forward-thinking clinical leadership across CA, AZ, NV, TN, IA, GA, and CT.
Core Competencies:
  • Excellent clinical acumen; a doctor's doctor who is comfortable with pushing the envelope of confident generalist care
  • A true patient-centered approach, from bedside manner to design of new initiatives
  • A natural team leader and communicator, able to gain trust and authentically lead a team
  • A strategic thinker with a passion for transforming health care and the operational mindset to completely own and execute clinical initiatives to improve quality, cost, and experience
  • Willingness to operate in an ambiguous environment, without continuous supervision
  • Intellectual curiosity and intrinsic motivation to identify opportunity and quickly act
  • Team-first attitude and willingness to take on any projects that need executed, both high profile and day-to-day needs
  • Executive presence; able to establish credibility amongst a senior leadership team and external partners
Essential Duties and Responsibilities
  • Ensures CareMore's clinical efforts deliver high-value care with population impact on experience, outcomes, and total cost of care
  • Personally leads CareMore clinical staff through direct individual oversight, clinical education, and team stewardship; responsible for hiring, training, and overall team performance in conjunction with CareMore shared services (e.g. Academy), market business/operations leader, and senior leadership
  • Ensures clinical operations efficiently and seamlessly meet patient needs through management of clinician productivity and quality and partnership with market business/operations leader
  • Uses population-level data from health plan partners and CareMore analytics to actively and iteratively develop clinical strategy and programs to manage drivers of avoidable clinical risk and negative outcomes through refinement and expansion of patient engagement, care management, and direct clinical management activities across inpatient and outpatient settings
  • Effectively leads conversations with stakeholders, partners, and senior management around market outcomes, strategy and tactics
  • Establishes credibility as senior clinical leader with CareMore team, health plans, and community partners
  • Performs direct patient care (50%) through practice as an extensivist and/or primary care physician within team
Work location and travel expectations:
Based in Dallas / Forth Worth, TX, with < 10% travel within Texas and to CA, NY, and other CareMore markets.

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.
Qualifications
Minimum Qualifications:
  • Requires a MD/DO; training in internal medicine or family medicine
  • Requires 5 years of experience as an inpatient or outpatient clinician, including 3 years of administrative experience; or any combination of education and experience, which would provide an equivalent background.
  • Requires current unrestricted medical licensure in Texas and board certification.
  • Strong strategic and operational analytic capabilities
  • Team management experience
 

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