Medical Director Risk Management

  • Compensation: $260,000.00 - $300,000.00 per year
  • Required Qualifications:
  • City/State: Los Angeles, CA

Are you ready to lead a dynamic team and make a significant impact on healthcare?

We have an exciting position open for a Medical Director of Risk Management with the largest HMO in Southern California. The mission is to deliver top-notch healthcare services and improve patient outcomes. With over 2500 PCP's in multiple locations, you'll play an integral role in the success of the organization!


About the Medical Director Role:

As the Medical Director, it's crucial that you have an understanding of the financial aspects of the programs and become an expert in HCC (Hierarchical Condition Category) and the company's initiatives. You'll build strong relationships with exclusive Primary Care Physicians (PCPs) in your assigned region, ensuring compliance with the company's needs. Access to cutting-edge EMR systems will facilitate efficient information retrieval and chart reviews.


Medical Director Responsibilities:

  • Deepen your understanding of the programs' financials and HCC.
  • Build and foster relationships with exclusive PCPs in the region.
  • Efficiently retrieve information and conduct chart reviews using EMR systems.
  • Empower providers through annual training seminars.
  • Drive effective utilization of qHMO for improved patient care.
  • Lead and guide internal staff through effective management.
  • Optimize resources by understanding and coordinating vendors.
  • Utilize member level data to target patients for personalized care.
  • Educate PCPs and their staff on HCC and quality metrics.
  • Collaborate with CFO, supervisors, and coding team for success.
  • Stay informed about industry trends and programs' requirements.

Qualifications for the Medical Director:

  • Medical degree and relevant board certification.
  • CA medical license.
  • Proven experience in HCC and financial management.
  • Excellent leadership and communication skills.

If you are passionate about making a positive impact in the healthcare industry, join this exceptional team and be part of an exciting journey towards delivering outstanding healthcare services.

We look forward to meeting you and exploring the possibility of having you on board!