Medical Director - National Medicare
Humana- Full Time
- Senior (5 to 8 years)
Candidates must possess a Board certification in Family or Internal Medicine as a Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO), with an active and unrestricted medical license in California. They should also have at least 5 years of clinical experience.
As a Medical Director, the candidate will lead and supervise a team of Nurse Practitioners and Physicians, providing clinical oversight and mentorship to drive high-quality patient care. They will ensure Pair Team achieves its value-based cost-of-care and HEDIS targets by developing and executing new, evidence-based clinical protocols and policies in partnership with the Population Health team. The Medical Director will serve as a key clinical leader, bridging clinical expertise with operational needs, and collaborating with behavioral health, nursing, and care management leadership. They will also partner with the Chief Medical Officer to inform clinical strategy, contribute to organizational growth, serve as the escalation point for complex clinical questions, and cultivate relationships with health plans, community organizations, and other stakeholders to advance Pair Team's goals through external engagement. Furthermore, the role requires travel to represent Pair Team at conferences and with other partners and stakeholders.
Connects vulnerable patients with local care teams
Pair Team connects vulnerable patients with local care teams that provide physical, mental, and social services. They achieve this by partnering with large healthcare providers, hospitals, health systems, municipalities, shelters, and social support services. The company focuses on whole-person care, offering their services for free to patients by coordinating resources across their partner network. This model is funded through the Enhanced Care Management benefit of Medi-Cal, ensuring no cost to patients. Additionally, Pair Team compensates community partners for their involvement in patient care, creating a revenue stream for these organizations. They also provide extra support like virtual urgent care, free grocery delivery, and housing navigation, which enhances patient care and eases the workload for healthcare staff. Pair Team stands out by specifically targeting vulnerable populations and collaborating closely with community organizations to deliver comprehensive care.