Chief Medical Officer – Providence Medical Group, Montana

Description

THE ROLE

The Providence Medical Group Chief Medical Officer (PMG-CMO) provides overall physician leadership to PMG for Montana, including the activities of all medical directors and oversight of all PMG primary and specialty care clinics. The PMG-CMO is responsible for all clinical activities, ensuring the highest quality of medical care delivered by PMG practitioners and support staff, achieving cost effective utilization of services provided, and oversees provider practice issues. This position will be 0.6 Administrative and 0.4 Clinical.

The PMG-CMO and Chief Operations Officer (COO) for PMG Montana lead together in a dyad model and in collaboration with area leaders to enhance service throughout the entire continuum of care. The PMG-CMO and COO dyad provide oversight and guidance for the financial aspects of PMG, and the development and implementation of strategic initiatives consistent with the strategic initiatives of Providence. With dyad partner and regional leadership, PMG-CMO oversees development and implementation of strategic plans; assists with medical staff recruitment to achieve appropriate staffing levels; and ensures that clinic caregivers are well informed regarding PMG strategy, direction, current issues and management response to those issues. This oversight includes; joint accountability with dyad partner for attainment of financial performance targets and for compliance with accreditation standards, and organizational requirements, such as medical management strategies, disease management programs, and service improvement initiatives, including customer satisfaction, and complaint resolution.

As health care evolves, Providence is responding with a vision and core strategy to transform and innovate at scale. Across five states, Providence and its affiliates continue to pioneer how care is delivered by sharing one strategic plan designed to improve the health of entire populations by supporting the well-being of each person the organization serves. The plan supports the vision, “Together, we answer the call of every person we serve: Know me, care for me, ease my way”, which is Providences promise to patients, customers and communities.

The core strategy of “Creating healthier communities, together” is supported by five specific areas of focus in the system strategic plan:

• Inspire: We must first inspire and develop our people.
• Know: To serve our communities effectively, we are building enduring relationships with consumers.
• Partner: Providing the best care requires new alignments with clinicians and care teams.
• Adapt: Well develop and thrive under new care delivery and economic models.
• Adopt: To serve more people we will grow by optimizing expert-to-expert capabilities.

Through innovation, excellence, good stewardship and working together across Providence, we will continue to lead change to improve the health of our communities.

GOALS & OBJECTIVES

It is expected that the new PMG-CMO will make significant progress in the following measures of success within the first 18 months:

• Vision and Strategic Orientation: Articulate a vision and a plan to design primary and specialty care models that will position Montana PMG for success in the new paradigm and competitive landscape. Envision and develop a reasonable, coherent strategy for continued growth and maturation of primary care services. Develop and articulate a physician alignment strategy to successfully engage medical staff and community physicians. Implement program and strategies aimed at improving the health in the community and underserved populations. In addition, support the ministrys commitment to becoming a high reliability organization by shaping a culture of reliability that will enable us to predictably achieve – every time, every place- safe, high quality outcomes, working towards zero harm.
• Accountability and Execution/Results Driven: Achieve clinical outcome targets, advancing the high reliability and quality agenda of the health system and maintaining high-touch, cost-effective care delivery. Be results-focused; set clear goals, priorities and specific measurable targets centered on access, quality, patient experience, utilization management, and cost effectiveness; establish and implement peer review structure, make timely decisions while considering cross-functional implications and ensuring alignment with mission, values and strategy; know what and how to measure, and how to interpret and use results. Collaborate with senior leadership and key operations leaders to develop metrics and user-friendly dashboards to enhance accountability at the clinician and managerial level. Provide accountable leadership and oversight to clinicians and administrators in the development and implementation of operational excellence priorities that provide the region with a full range of quality continuum-of-care services.

ESSENTIAL FUNCTIONS

• Positions PMG as a service area leader for providing quality care through initiatives, education and strong quality metrics programs. Partners with COO on the education, development, and reporting of care processes and patient outcome measures. Ensures that PMG meets or exceeds quality standards, including patient experience standards. Oversees development of best practices for PMG that become standards for care.
• Participate in clinic, department, and program-specific and system-wide quality assurance and improvement programs through active involvement in identifying indicators, utilization of services, and appropriateness of treatment for clinical services.
• Direct the development and implementation of methods to monitor and analyze outcomes, track project development and performance improvement for the program.
• Manage clinical quality concerns.
• Promote best practices around staff engagement, patient experience, and value.
• Provide direction and support for utilization and quality management policies, criteria and protocols. Implements medical policy/procedure guidelines, including evaluation of new medical procedures.
• Participate in retrospective review of problem areas identified from summary data of paid claims, admissions, authorization logs, grievance process and other sources where policy, utilization or quality issues are involved. Recommend intervention strategies or programs to rectify identified problems.
• Maintain confidentiality of records, patient, employee or medical center information at all times. Ensure all information and conversations regarding patients are secured from general public access.
• Provide effective leadership, by motivating staff and providers to produce excellence in their work both individually and as a team. Create a positive work environment for all staff.
• Create timely and direct communication channels to deal with service, clinical or performance issues, ensuring prompt and appropriate resolution.
• Serve as a role model in setting standard of practice and performance.
• Promote and provide opportunities for both clinical and/or administrative staff professional development.
• Actively support and incorporate the Providence mission and core values into daily activities. Treats others with respect, demonstrates excellence, justice and compassion in daily work and relationships with others. Is a steward of fiscal and human resources.
• Assist practitioners in addressing physician and medical director behavior and impairment issues.
• Establish regular meetings with the administrative and provider staff to monitor and evaluate internal operations and progress towards meeting annual goals.
• Serve as the key communications link to staff physicians, other providers, and dyad partner by relaying all information garnered from meetings by tying PMG and Providence-wide efforts and initiatives to the clinic, program, and department level.
• Participate actively in meetings within Montana and Providence, and act as a liaison for communication and problem-solving both internally and externally.
• Participate in all mandatory staff meetings and in services and training programs to ensure continued understanding of all departmental policies, procedures and performance improvement processes.
• Monitor clinical adherence to all applicable PMG policies and procedures, initiating prompt corrective action plans to address issues.
• Provide direct supervision to all direct reports, and assist in their ability, and all medical directors ability to provide supervision and guidance to clinical and administrative staff.
• Direct the development and utilization of tools and other resources to analyze provider productivity and lead effort to address issues in conjunction with dyad partner.
• Works with practitioners to analyze experience and practice patterns. Counsel and develop physicians who have quality shortfalls or questionable patterns of utilizing inpatient or ancillary services, referrals and/or other medical services.
• Ability to manage difficult peer situations arising from medical care review. Willingness to constructively confront providers about needed changes in practice patterns.
• Serve as a professional link between PMG medical staff, departments and Administration to resolve conflicts, facilitate communication, and engage in development of interdisciplinary treatment teams and approaches.
• As a member of the Montana senior leadership team promote collaboration and cooperation with independent physicians and business partners.
• Works in collaboration with the Community Ministry Boards relative to PMG governance.
• Participate in the PMG strategic planning processes, updating organizational design to maximize productivity and operational efficiency while improving quality and controlling costs.
• With dyad partner, participate actively in the budgeting process, setting reasonable financial goals and striving to maintain cost-effective practice guidelines while achieving the highest quality of care.
• Monitor and develop action plans to ensure PMG progress toward achievement of goals and objectives, especially as they relate to productivity, provider and caregiver engagement, finance and quality. Participates in strategic planning efforts and refinement of business plans as appropriate. Assists with the implementation of business plans to achieve organizational goals.
• Organize and lead multidisciplinary process to develop, maintain, and update clinical pathways, guidelines, and care plans related to specialty.
• Actively participate in the process of Care Transformation by developing and implementing PMG strategic initiatives in Care Transformation.
• Actively recruits practitioners to PMG to augment primary care and specialty clinic capacity.
• Supports and participates in credentialing of providers as well as the contracting process.
• Provide medical direction and oversight for the development, implementation and compliance with appropriate program policies, procedures, and standards of care.
• Consult and participate actively in all compliance efforts, including but not limited to, standards and recommendations of the Joint Commission, applicable standards of relevant professional societies, and all applicable local, state, and federal laws and regulations.
• Maintain licensure and board certification.

QUALIFICATIONS

• M.D., or D.O
• Masters Degree in Health Care Management, Business Administration, or related field (preferred)
• Upon hire: Montana Physician License (Vendor Managed)
• Upon hire: Board certified in recognized medical specialty
• 5 years of medical practice experience in managed care, group practice environment, and physician or healthcare leadership role
• Experience within a multi-site, matrixed integrated system (preferred)
• Experience in Quality Management and Resource Management in healthcare organizations such as Medical Group and/or Health Plans (preferred)
• Mission & Culture: Exhibit servant leadership and champion upholding the integrity of the organizations mission to serve poor and vulnerable populations with the highest quality of care while pursuing the regional vision and strategy. Model behaviors consistent with organizational values. Mission, Vision, and Core Values of Providence are demonstrated and promoted daily. Open discussion and problem-solving, frequent regular communications and a respectful and caring approach to staff, patients, families and medical staff is a trademark. Create a culture of excellence focused on value-based purchasing, patient experience, physician engagement, integrated business/clinical intelligence, and productivity
• Communication: Superior communication skills to interact effectively with PH&Ss executives, medical staff, caregivers, Board, and all levels of PH&S management. Flexibility of thought and a willingness to actively listen to others regarding input and feedback. Demonstrates capacity to simplify ideas into easily understood concepts; articulates strategy and operational tactics to diverse groups of internal and external constituents; speaks and writes clearly and succinctly in a variety of communication settings and styles; delivers messages to the desired effect; connects the dots and provides clarity of thought process and intent; seeks input to clarify issues and potential actions
• Interpersonal Savvy and Political Astuteness: Relates well at all levels inside and outside PH&S, builds rapport and strong relationships internally and externally; is politically savvy; maintains composure under pressure; not easily discouraged. Diffuses tension through exemplary communication, uses diplomacy and tact to maneuver through complex political situations; sensitive to how people and organizations function; tenacious with the courage of conviction to manage through resistance and challenges
• Leadership Style: A strong, confident, and decisive leader with clinical credibility. Exudes a polished, professional image and calm executive presence in challenging situations. Track record of a highly visible and collaborative style of leadership; one who partners with others internally and externally in the community to achieve the best results. Capacity to balance the big picture and strategic perspective with attention to the day to day operations and the details of execution. Genuine, open and partners well with others. A good mentor to the management team and providers and skilled at serving as a coach, talent developer, and advisor to others. Executive demeanor and professionalism with strong core values of integrity, trust, sincerity, and honesty. Must be diplomatic, even keeled, and have a positive approach. Should be known as visible and accessible in the region
• Relationships and Collaboration: Build and cultivate relationships inside and outside the organization, engendering confidence and credibility with a wide range of stakeholders. Develop a highly collaborative working relationship with the Chief Administrative Officer, Chief Operating Officer, CMO for Montana hospitals, senior leadership team, medical staff leaders, and advisory board representatives based on trust, cooperation, and mutual support. Demonstrate team play with other regional physician executives throughout the system and represent the Montana region effectively within the health system. Establish strong relationships with payers as needed, including developing payment related to quality and outcomes improvement. Partner with community and other healthcare organizations on programs and services that foster improved patient care for the populations served. Demonstrate a positive attitude and collaborative approach with clinics to drive the quality agenda
• Conflict Management: Deals well with conflict and adversity without personalizing issues; faces difficult situations with courage and tenacity; encourages direct and tough debate; finds common ground and gets cooperation; acts to remedy behavior in conflict with organizations values
• Change Agent: A skilled and courageous change agent with sensitivity to the interpersonal, organizational, and political issues that accompany change. Strong ability to lead through influence and comfort with ambiguity. Knowledge and understanding of the trends and changes taking place in healthcare and experience articulating how these shifts may impact PMG. Able to lead complex organizations through a transition process.
• Innovation: Uses sound judgment in selecting creative ideas and solutions especially in primary care; leverages fresh perspectives, breakthrough ideas and new paradigms to create value; challenges existing practices. Promotes appropriate adoption of clinical innovations; approaches issues with curiosity and an open mind; stimulates and facilitates the creativity and experimentation in others
• Business Acumen: The successful candidate knows how businesses work; knowledgeable in current and possible future policies; practices, trends, technology, and information affecting their business and organization; understands finance
• Influence and Negotiation: Promotes and sells ideas persuasively; in a collegial manner affects positive clinical change regardless of reporting structure; shapes the opinions and gains alignment of stakeholders by demonstrating understanding. Projects a positive image of the organization; stands up for what is right; wins acceptance for proposals and initiatives; negotiates skillfully to create best possible outcomes for all parties in tough situations with internal and external groups; wins concessions using direct, firm communication while maintaining relationships.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, well walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Requsition ID: 316579

Company: Providence Jobs

Job Category: Provider Management

Job Function: Provider

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 3501 PM ADMIN MT

Address: MT Missoula 500 W Broadway

Work Location: St Patrick Hospital-Broadway Bldg-Missoula MT

Workplace Type: On-site

Pay Range: $. – $.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.