About this opportunity
Upperline Health Inc lists this Medical Director, Value Based Care opportunity in bowling green, Kentucky. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Founded in 2017 and headquartered in Nashville,Tennessee,Upperline Health delivers comprehensivecare through a growing national network, with teams spanning podiatry,endocrine, primary care, urgent care,wound, vascular and more.The organization’s mission is to integrate and transform specialty care for chronically ill, high-risk patients through frequent specialist engagement and coordinated, value-based programs.
With a patient-centered approach, Upperline delivers care across 21 states and has been recognized asone ofthe nation’s largest multi-specialty physician practices. The platform has demonstrated meaningful improvements in outcomes, such aslowering hospitalization rates, decreasing total cost of care,reducingamputations,and accelerating wound-healing times, supported in part by its optimized EHR and analytics infrastructure.
Our Upperline Plus program isthe value-based care pillar of Upperline, which allows for the integration of primary and specialty care. Patients are part of full risk arrangements with Medicare and MA plans, and the Upperline Plus interdisciplinary teamextends an extra layer of support forhigh-riskpatients. This care model - a full interdisciplinary team(physicians, APPs, RNs, pharmacists, social workers)workingacrossclinics,home, and telehealth - reduces avoidableutilizationand total cost of care.
The Upperline team enhances the healthcare experience by living our Upperline CARES values —fostering strong Connections , holding ourselves to the highest level of Accountability , demonstrating Resilience in navigating and tackling complex challenges, committing to Excellence in patient care, and focusing on a Service mentality that places patients at the heart of everything we do.
ABOUT THE MEDICAL DIRECTOR, VALUE BASED CARE
Upperline is seeking a Medical Director, Value Based Care (VBC) to join the clinical leadership team in developing, implementing, and growing our unique value-based care model in Kentucky.
The VBC Medical Director will serve as a clinical leader partnering with Operations and Population Health leaders to deliver successful value-based care results across the market.
What You’ll Do
Oversee the care management and medical management of the Upperline Plus patients being seen by Upperline’s Nurse Practitioners in the in the market or region
Responsible for supervising medical management of patients in the region including clinical quality review of providers and serving as the collaborating physician for APPs in the region (as necessary based on state law)
Accountable for value-based care outcomes (e.g., ADK, total cost of care), medical management, care management, utilization management, and quality improvement tools and processes in the region
Manage and drive value-based care initiatives with APPs and doctors ensuring positive impact on patient outcomes
Analyze population health data and identify gaps and develop solutions to improve delivery of care, decrease hospitalizations and reduce medical costs
Educate providers on value-based care metrics and best practices and foster a culture that prioritizes accountability around outcomes-based performance
Ensure the region is meeting VBC operations metrics such as addressing Quality gaps, accurate documentation, patient engagement and retention
Design, implement and manage new value-based care programs and service lines in collaboration with population health and operations teams
Conduct interdisciplinary team meetings to discuss management of the most complex patients (including high cost and high-risk patients
Establish and maintain relationships with VBC team, specialists, and PCPs in the region; educate on Upperline Plus program and advocate for collaborative partnerships benefiting patients
Support onboarding and training of new providers and provide onsite and virtual clinical coaching and feedback with a focus on ensuring consistency and continuous improvement of managing patients more efficiently
Build relationships in the region and identify best partners (e.g., other specialists, home health agencies, hospitals) for Upperline to send referrals when needed
Develop clinical compliance guidelines and protocols
Experience and Qualifications
Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.)
Board certified in Internal Medicine, Family Medicine, Preventative Medicine, or Geriatrics
Active license in Kentucky and willing to pursue multi-state licensure if needed
Fellowship training in Geriatrics and/or other advanced degrees (e.g., M.B.A., M.P.H., M.H.A.) valued but not required
~ 5 years of outpatient practice experience
Clinical leadership experience in a VBC or Population Health company
Experience with managed care and familiarity with payer-provider collaboration
Owned or been part of creating, improving, and/or implementing clinical processes, protocols, or evidence-based guidelines
Experience or exposure to rolling out and/ or managing VBC programs (e.g. Transitional Care Management, Complex Care Management, ED Diversion, Advanced Care Planning, High Risk Patient Outreach)
Talent for synthesizing information and solving complex problems; can independently translate high-level goals into actionable plans
Proven leadership skills and servant leadership mentality with a passion for people and culture
Ability to communicate, collaborate and work effectively with staff, providers, and organizational leaders
Self-starter with a bias for action orientation; demonstrates a service excellence mindset
Exceptional organizational and project management skills and the ability to prioritize and multi-task autonomously
Comfortable working in Excel; able to analyze data and present findings
Must be willing and able to routinely visit clinics and providers within the region; Residing in the market is strongly preferred
BENEFITS
Comprehensive benefit options include medical, dental and vision, 401K, PTO and parental leave.
COMPENSATION
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience.
Job Type: Full-time
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.
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Worksite address
bowling green, KY, 42103, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.