Market Medical Director VP, MMP - Cityblock Health : Job Details

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About Us:

Cityblock Health is the first tech-driven provider for communities with complex needs—bringing better care to where it's needed most, block by block. Founded in 2017 on the premise that “health is local” and based in Brooklyn, we are backed by Alphabet's Sidewalk Labs along with some of the top healthcare investors in the country.

Our mission is to improve the health of underserved communities. Importantly, our solutions are designed specifically for Medicaid and lower-income Medicare beneficiaries, and we meet our members where they are, bringing care into the home and neighborhoods through our community-based care teams and Virtual Care offerings.

In close collaboration with community-based organizations, local providers, and leading health plans, we are reorganizing the health system to focus on what matters to our members.

Our work is grounded in a belief in the power of a diverse community. To close gaps in care and advance equity in the communities we serve, we have to start with making our own team diverse and inclusive. Our ways of working are characterized by creativity, collaboration, and mutual learning that comes from bringing together a community from diverse backgrounds and perspectives. We strive to ensure that every person on the Cityblock team, and every Cityblock member, feels supported and included as a part of our community.

Our Values:

• Aim for Understanding
• Be All In
• Bring Your Whole Self
• Lean Into Discomfort
• Put Members First

About our Team:

We employ a mixed modality care model and are committed to meeting members where they are--in their homes, in their community, virtually, and in our Hubs. You will go above and beyond to connect with people in your community in a non-judgmental, respectful and empathic manner, to meet their needs, and to provide feedback to the system as a whole as we strive to do better every day.

About the Role:

As a Market Medical Director (MMD), you will lead and provide clinical oversight to all clinical staff within the applicable market. The MMD works in partnership with the Market Executive Director (together, the Market Dyad) to manage and execute on market goals including but not limited to, clinical operations, TCOC, care model opex, and service performance goals at the market and partner level for a defined set of contracts.

You will:

• Together with the Market Executive Director and other internal stakeholders, define a strategy and market goals that advance contract and company results. More specifically, the Market Medical Director will participate in the planning and execution of the Market Operating Plans.
• Play a lead role in monitoring, evaluating, and driving quality improvement activities across multiple hubs, home-based care, and virtual care, including review of member and care team quality of care concerns
• Drive integration of clinical innovations, including community medicine, care transitions, palliative care, and others, in line with enterprise strategy and programs.
• Oversee and be accountable for the performance of in-market provider and other clinical performance.
• Ensure appropriate clinical supervision and oversight of primary care physicians and Advanced Practice Providers who are managing members with complex physical, cognitive, and behavioral health needs as a part of an interdisciplinary care team
• Collaborate with Clinical Staff Affairs to manage provider licensing and credentialing and ongoing competency requirements in order to assure market providers are adequately available for clinical care
• Interface with partner medical leadership in a collaborative and outcome-focused manner in order to assure contractual and member goals are met and member experience is optimized.
• Interface with network PCPs, specialists, hospitals, and community based organizations to promote an understanding of Cityblock's model, facilitate collaboration, and promote and implement effective patient co-management, in partnership with Cityblock's Network Operations team
• Develop and implement cost of care initiatives based on segmentation and other population health drivers and partner with your local care teams to further evaluate and iterate initiatives to support high quality member care, for both consented and pre-consented members
• Partner with Cityblock's Data and Analytics teams to understand and map solutions to address drivers of utilization and translate this information to local care teams for iteration of potential data-driven solutions
• Manage market patient safety efforts and clinical risk management, achieving practice-level and individual patient quality outcomes, in partnership with Cityblock's Patient Safety team
• Lead clinical quality improvement initiatives that may span multiple locations and that focus on HEDIS, contracted or other determined clinical quality metrics, in partnership with Cityblock's Quality Improvement system
• Advance Cityblock's care model and other clinical best practice adoption that assures the standardization of clinical pathways with specific focus on providing appropriate care to complex populations and furthering the integration of behavioral health and primary care services
• Participate in the delivery of educational content around complex care delivery, geriatrics and palliative care, chronic disease management, social determinants of care, and integration of primary and behavioral health needs, across the entire care team including non-clinical staff
• Train and mentor employees, as needed
• Provide clinical care to an appropriate panel of members with complex needs, with an emphasis on chronic disease management, primary behavioral health, primary palliative care and substance use disorder diagnosis and treatment
• Participate in identified strategic and clinical committees and work streams locally and centrally to support Cityblock's programs across our markets
• Attend external meetings and activities, and maintains professional credentialing and CME standards
• Work daily within designated EHR and care management platforms.
• Manage provider accurate and timely documentation for diagnosis recapture, longitudinal care, and billing and coding, and assist with improvement initiatives to optimize documentation outcomes.
• Triage and manage incoming ad hoc requests and projects in support of the Division President, sharing accountability for completion and management of success for the market and division.
• Work a full-time week and join the Cityblock on-call schedule. You may be expected to participate in a Saturday Rotation based on your market's schedule. Your work may take you outside of normal business hours as urgent member needs arise.

Requirements for the Role:

• You are an MD or DO, Board Certified in Family Medicine with an unrestricted license to practice in North Carolina
• You have led clinical care teams with a preferable focus on Medicaid patient populations, interdisciplinary providers, and value-based care, having supported multi-site clinics and/or dispersed community-based teams across a geographic region
• You have proven leadership experience with one or more of the following: quality of care and improvement, population health, performance management, cost and utilization management, care coordination, network engagement, and data driven decision-making.
• You are a collaborative self-starter, a leader, and a strategic thinker who is excited about the big picture of whole community health, and the ongoing evaluation and iteration of our care model
• You have developed teams, provided clinical oversight to clinical team members, and have held administrative roles in clinical organizations or other innovative care models
• You have experience providing clinical services to individuals with co-occurring chronic medical and behavioral health conditions, and have interest in serving complex, vulnerable, and disabled populations.
• Experience working collaboratively with an interdisciplinary care team, and specifically working alongside community health workers or care coordination staff
• Proven skills, knowledge base, and judgment necessary for independent clinical decision-making.
• Have proficient experience using and navigating an EMR
• You are capable of using technology and data to support your work and help drive the ongoing evaluation toward new and better care
• You are proficient in reviewing and responding to critical member health and population data
• You have an unrestricted driver's license and vehicle for daily use

What We'd Like From You:

• A resume and/or LinkedIn profile
• A short cover letter, please!

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.

Medical Clearance (for Member-Facing Roles):

You must complete Cityblock's medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.

Covid 19 Update - Please Read:

Cityblock requires those hired into this position to provide proof that they have received the COVID-19 vaccine. Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock.