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Medical Director, Quality

Company: Cedars-Sinai
Location: Beverly Hills
Posted on: January 11, 2021

Job Description:

Important update: In response to the current health situation, some of our hiring processes have changed. Read more --- Learn more about applying at Cedars-Sinai Learn more about applying at Cedars-Sinai Let us search jobs for you based on the skills and experience listed in your LinkedIn Profile. The Medical Director for Quality and Clinical Performance works closely with the Chief Medical Officer and the Director, Quality and Performance Improvement, to promote the highest quality of care and to enhance the culture of safety in the Cedars-Sinai Medical Network. Working in a dyad relationship with the Director, Quality and Performance Improvement, the incumbent oversees processes to ensure reliable performance around preventive and chronic care outcome measures for all accountable populations and programs. This involves collaborating closely with key physician leaders, primary and specialty providers, and operational leadership to prioritize efforts, implement new initiatives and communicate updates and changes relevant to the quality program. Incumbent develops strong relationships with stakeholders including health plans. Incumbent works with analytic partners to track and trend performance and create feedback mechanisms to physicians and operational team.

Working in a dyad relationship with the Director, Quality and Performance Improvement, and the Director, Risk Management, the incumbent oversees the Voice of the Customer program, providing clinical input to patient complaints and grievances, analyzing trends, and working with operational teams to streamline service recovery and enhance the patient experience. Incumbent facilitates processes to support provider teams and represent patients when managing difficult interactions. Provides support to the Quality team in efforts to promote a Culture of Safety, including promoting incident reporting, transparent communication and a no-blame approach to errors. Works closely with the Chief Medical Officer on processes related to Credentialing and Peer Review. Uses data to understand problems and to identify tactics for improvement.
Educational Requirements:
MD or DO required with completion of residency and board-eligibility in a medical specialty (board certification preferred).

Current valid license to practice medicine in the State of California required.
Board certification or board eligibility in one of the ABMS specialties required.

5 years minimum of progressive and successful physician leadership required; ten (10) years of prior work experience in a health care setting highly desired.

2 or more years' experience in appeals and grievances review, case review, and/or quality improvement activities in a managed care setting, or equivalent, is preferred.

2 or more years HMO/Managed Care experience is preferred.

2 or or more years experience in NCQA/HEDIS, Medicare Star Ratings, Quality Improvement required.

  • Working Title: Medical Director, Quality
  • Department: MNS Quality Mgt
  • Business Entity: Medical Network
  • City: Beverly Hills
  • Job Category: Family & Function, Medical Network Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address. Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring. At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment. Cedars-Sinai Employees - Enter your email to refer a friend! Close Watch our hospital staff read social comments from real patients. Dedicate yourself to work that truly matters. Join us for one of our career events and learn more about how we are dedicated to being the best at transforming healthcare. Cedars-Sinai - Our Commitment to Hiring Military Veterans Learn about Cedars-Sinai's commitment to recruiting and retaining former members of the military and their spouses Join our Talent Network and get Cedars-Sinai news and job alerts delivered to your inbox. First Name Last Name Email Phone Number Current Job Title Years of Experience Upload Resume Interested In Search for a category, location, or category/location pair, select a term from the suggestions, and click "Add". Category Location
    • Family & Function, Beverly Hills, California, United States Remove
    • Medical Network, Beverly Hills, California, United States Remove

Keywords: Cedars-Sinai, Beverly Hills , Medical Director, Quality, Executive , Beverly Hills, California

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