Medical Director, Quality
Company: Cedars-Sinai
Location: Beverly Hills
Posted on: February 20, 2021
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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).
License/Certifications:
Current valid license to practice medicine in the State of
California required.
Board certification or board eligibility in one of the ABMS
specialties required.
Experience:
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.
Keywords: Cedars-Sinai, Beverly Hills , Medical Director, Quality, Healthcare , Beverly Hills, California
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