Chief Medical Office - Avera Sacred Heart Region at Abarca Health

Yankton, South Dakota, United States

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Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Part TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Visual acuity adequate to perform position duties
Ability to communicate effectively with others
Ability to hear, understand, and distinguish speech and other sounds
Knowledge, skills, and abilities to perform essential job functions satisfactorily
Ability to work primarily days with night, weekend, and holiday on-call involvement

Responsibilities

Strengthen medical/dental staff relationships and engagement with the Avera Region, including supporting leased and owned facilities
Collaborate with the CEO to address issues involving clinical relationships and have a presence in rural communities as needed
Promote effective communication and collaborate with medical/dental staff, clinical, administrative and service line leadership, and the Board to address regional issues
Develop quality initiatives (quality outcomes, safety, and patient experience) that support Avera system quality goals and improve measurable performance parameters
Work in partnership with quality staff, medical/dental staff, and leadership to ensure ownership of clinical protocols and effective administration of quality benchmarks
Collaborate with Avera Region leadership to identify and develop new growth opportunities in clinical services, market share, and referral relationships
Work collaboratively with leadership and clinical staff to facilitate appropriate patient placement through the continuum of care
Leverage Avera’s culture of compassion to create a preferred experience and retention of clinical staff
Work with medical/dental staff leadership and committees to identify, address, and resolve issues relating to medical staff governance, quality, conduct, and by-laws
Provide oversight of privileging, utilization review, and quality assurance functions; ensure compliance with regulatory requirements and adherence to by-laws
Champion clinical integration and innovation by leveraging technology advancements in care management
Promote healthy behaviors of medical/dental staff, high quality clinical performance, and facilitate conflict resolution in collaboration with the CEO and AMG leadership
Support the Avera strategic plan by implementing strategies and achieving goals at the system and regional level
Ensure compliance with Avera mission, policies, procedures, contractual agreements, and the Ethical and Religious Directives for Catholic Health Care Services; serve as resource for clinicians on related issues
Promote and support Avera physician leadership education and growth opportunities
Serve as the administrative representative at the Avera Region’s Board of Directors, Medical Executive Committee, and other assigned committees
Serve as a clinical spokesperson and advocate for Avera when required
Enhance quality throughout the patient care continuum to result in market share growth
Implement clinical strategies and excellence that support Avera's strategic plan

Skills

Medical Staff Management

Quality Improvement

Clinical Strategy

Healthcare Leadership

Patient Safety

Stakeholder Collaboration

Rural Healthcare

Performance Metrics

Service Line Development

Continuum of Care

Abarca Health

Pharmacy Benefit Management services provider

About Abarca Health

Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health manages over $5.3 billion in drug spend and processes 100 million prescription claims annually, offering additional services like home delivery for prescriptions. The company's goal is to deliver exceptional service and innovative solutions in the PBM market.

Aventura, FloridaHeadquarters

2005Year Founded

VENTURE_UNKNOWNCompany Stage

HealthcareIndustries

501-1,000Employees

Benefits

PTO

Parental leave

Work flexibility

Health insurance

Wellness stipend

401k

Tuition reimbursement

Leadership development programs

Risks

Increased competition from Amazon Pharmacy and Mark Cuban's Cost Plus Drug Company.

Growing focus on specialty drugs may require platform adaptation.

Shift towards price transparency could pressure Abarca's pricing models.

Differentiation

Abarca Health's Darwin platform is highly adaptable and user-friendly.

The company offers innovative programs like Triple S en Casa for home delivery.

Abarca Health ensures compliance with ever-changing healthcare regulations.

Upsides

Abarca transitioned two million members to Darwin in 18 months, showing operational efficiency.

Collaboration with Blue Shield of California boosts Abarca's reputation in the PBM sector.

Recognition as a top IT workplace attracts top talent, driving innovation.

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