*Must be located in the state of TN and have TN licensure*

Summary:

The Market Medical Director is responsible for providing physician leadership in dyad partnership with Market Vice Presidents to support Somatus' Population Health care teams in each patient population market. With a focus on achieving improved quality outcomes for patients, the Market Medical Director provides clinical leadership and accountability, working collaboratively with data/analytics and operations teams, to drive improved quality and utilization outcomes across each multi-state market geography. In addition, the Market Medical Director is also responsible for supporting provider engagement and market level client relationships with a focus on clinical collaboration to advance patient care in support of Somatus' mission.

Responsibilities:

• Provides physician leadership as the dyad partner with Market Vice Presidents to provide market-wide (multi-state) clinical leadership and oversight to drive performance outcomes.
• Supports market Operations teams with development and implementation of Somatus population health clinical programs, including clinical quality oversight of care team execution, in order to achieve improvement in clinical, utilization, and total cost of care outcomes.
• Partners with VP Medical Management to improve market-specific clinical outcomes (quality metrics) and utilization outcomes (admission rates, ED utilization rates, and re-admission rates).
• Works closely with Data/Analytics team to identify actionable opportunities to improve overall utilization and quality performance, and proactively identifies opportunities to improve year-end performance.
• Provides market-level physician representation alongside Market Vice Presidents with market health plan clients, with a focus on enhancing collaboration to advance clinical care.
• Supports market provider engagement teams, including building relationships with local providers as well as providing clinical oversight to Somatus care teams supporting local primary care and nephrology practice partnerships.
• Works collaboratively with Somatus Multispecialty Group, PC. Medical Director to leverage market provider resources to enhance field team effectiveness to drive outcomes (analogously to health plan medical director collaboration with network providers).
• Provides physician leadership to field care teams providing care management services for patients and reviews comprehensive patient care plans and identifies opportunities for care improvement across the spectrum of patient's total health.
• Serve as collaborative physician to provide oversight to nurse practitioner(s) performing risk adjustment visits in relevant states.
• Performs case reviews for patients where needed in support of local teams to identify opportunities for improvement in care. Applies evidence-based clinical guidelines in assessing appropriateness of utilization to identify opportunities for improved efficiency and quality of care.
• Conducts root cause analyses to determine underlying drivers of patients' utilization and morbidity and communicates well with care team members and other physicians.
• Conducts peer-to-peer discussions where needed with local treating nephrologists, PCPs, and hospitals as needed, focused on clinical collaboration for patient care.
• Provides ongoing education and guidance in leading care team members, with a focus on teammate development and growth.
• Participates in quality improvement work across the organization.
• Maintains strong knowledge of medical and social issues, CKD & ESKD research related to prevention, care and treatment advancements.
• Understands and supports patient stratification, continuous evaluation, and re-stratification of members for appropriate resource allocation.
• Ability to remain flexible to accommodate and support business needs.

Qualifications:

• Graduate of an accredited medical school. M.D./D.O. degree is required.
• Completion of approved training in internal medicine, family medicine, primary care, emergency medicine, or nephrology and maintains active board certification.
• At least 2-3 years of post graduate experience caring for complex adult populations.
• Possess a valid, unrestricted license to practice medicine in relevant states and willing to pursue additional licensure as required for job duties.
• Demonstrated experience in population health or utilization management.
• Excellent interpersonal, verbal, and written communication skills.
• Consistently completes continuing education activities relevant to practice area and needed to maintain licensure.

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company. All requests for proof of vaccination or for exemptions from the vaccination requirement will be subject to any limitations stipulated by current state and/or federal laws.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.

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