Market Medical Director- North Carolina Based at Cityblock Health

North Wilkesboro, North Carolina, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

(None explicitly listed in the job description)

Responsibilities

Together with the Market Vice President and other internal stakeholders, define a strategy and market goals that advance contract and company results
Participate in the planning and execution of the Market Operating Plans and Medical Savings Plans
Develop and implement cost of care and quality initiatives based on segmentation and other population health drivers
Partner with local care teams to further evaluate and iterate initiatives to support high quality member care, for both consented and pre-consented members
Collaborate 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
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 team
Control total cost of care by implementing the Cityblock Care Model, with a focus on decreasing unnecessary hospitalizations, emergency room visits, and speciality referrals
Collaborate with Clinical Staff Affairs to manage provider licensing, credentialing and ongoing competency requirements in order to assure market providers are adequately privileged for clinical care
Manage market patient safety efforts and clinical risk management, achieving practice-level and individual patient quality outcomes, in partnership with Cityblock’s Member Safety team
Participate in the delivery of educational content around complex care delivery

Skills

Clinical Oversight

Value-Based Care

Population Health Management

Total Cost of Care

Clinical Operations

Strategic Planning

Business Development

Data Analytics

Quality Initiatives

Team Leadership

Cityblock Health

Personalized healthcare services for Medicaid patients

About Cityblock Health

Cityblock Health provides personalized healthcare services primarily for Medicaid patients, focusing on compassionate care that addresses both medical and non-medical needs. When individuals join Cityblock, they are assigned a dedicated care team that includes doctors, nurses, mental health advocates, and social workers, all tailored to meet their specific health requirements. This team helps members navigate their healthcare journey, from finding specialists to providing urgent care services for non-life-threatening emergencies, delivered right at their homes. Cityblock distinguishes itself from competitors by emphasizing a holistic approach to health, which includes support for housing, food security, addiction treatment, and childcare, in addition to traditional medical services. The company's goal is to ensure that every member receives comprehensive care that respects their individual stories and circumstances, making healthcare accessible and compassionate.

New York City, New YorkHeadquarters

2017Year Founded

$890MTotal Funding

LATE_VCCompany Stage

HealthcareIndustries

501-1,000Employees

Benefits

Comprehensive health, dental, & vision coverage

12 weeks parental leave

401(k)

20 days vacation

Company retreats & events

Risks

Over-reliance on Medicaid funding poses financial risks with policy changes.

Rapid expansion may strain resources and affect service quality.

Continuous IT investment is needed, posing a financial burden if not aligned with growth.

Differentiation

Cityblock Health offers a unique care model integrating medical and social services.

The company focuses on Medicaid patients, addressing complex health and social needs.

Cityblock's Advanced Behavioral Health Program shows significant cost savings and reduced utilization.

Upsides

Partnerships in North Carolina and Florida expand Cityblock's reach in high Medicaid areas.

The ABH Program's success suggests potential for expansion and replication in other regions.

Cityblock's flexible care model enhances accessibility and patient satisfaction.

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