Market Physician Executive

Market Physician Executive role at Navvis (healthcare).

• Collaborate as a clinical partner to Market operations leaders to manage and improve governance, management and performance of clinical medicine, patient care, and physician engagement (primary care and specialist).
• Provide clinical leadership and direction to physicians and provider network.
• Develop and implement clinical strategies to improve patient outcomes, reduce unnecessary care variation, reduce unnecessary utilization, and enhance care coordination. Ensuring delivery of optimal, medically necessary, compliant, high-quality, cost-effective care.
• Stay abreast of the latest clinical guidelines, best practices, and healthcare policy changes relevant to Medicare and Medicare Advantage patient populations.
• As part of the market executive team collaborate to develop and implement the market’s strategic plan.
• Actively lead physician leadership committees, including assisting with agenda creation, content development, and presenting/facilitating meetings as needed.

• Oversee the development and implementation of quality improvement programs to enhance clinical performance, patient satisfaction, and safety.
• Recommend and implement process improvements designed to improve the efficiency, effectiveness, and success of physicians and clinicians.
• Monitor key performance indicators (KPIs) related to quality, cost, and utilization across all value-based contracts.
• Lead efforts to analyze performance data, identify areas for improvement, and implement effective interventions.
• Ensure compliance with all reporting requirements and quality standards set by CMS and other regulatory bodies.

• Develop and implement strategies to ensure complete and accurate HCC coding.
• Educate providers on HCC coding guidelines and best practices.
• Oversee regular audits of medical records to assess coding accuracy and completeness.
• Collaborate with coding staff to address coding discrepancies and improve documentation.
• Monitor key performance indicators related to HCC coding and risk adjustment.

• Facilitate communication and collaboration among providers to enhance care coordination and improve patient outcomes through the transparent sharing of information and data to inform improved clinical outcomes.
• Drive a positive culture that supports team-based collaboration and results that improve patient satisfaction, employee retention, and physician experience.
• Promote the development and growth of physicians and clinical staff.
• Demonstrate and lead providers toward accountability and oversight for goals, outcomes, and cost-effective clinical care.
• Foster strong relationships with participating providers and promote active engagement within value-based contracts and in the MSSP ACO.
• Provide education and training to providers on value-based care principles, population health management, and MSSP ACO initiatives. Promote behavioral changes in providers when necessary.
• Support recruiting, hiring, onboarding, training, mentoring, and engagement of clinical providers.
• Align physicians and clinicians to expectations.
• Ensure physicians foster a culture that supports our core values.

• Develop and implement strategies to improve patient engagement in their care and promote adherence to treatment plans.
• Provide ongoing support to physicians to promote clinical success managing chronically ill senior patients in a patient-centric and value-based care risk model through population health.
• Collaborate on care coordination programs to ensure smooth transitions of care and reduce hospital readmissions.
• Promote patient education and self-management support programs.

• In collaboration with finance and contracting executive, support negotiations with health insurance companies for risk-based contracts, including capitation, bundled payments, and shared savings agreements.
• Analyze financial and clinical data to develop competitive contract proposals.
• Monitor contract performance and identify…