Massachusetts Veterans Jobs

Why This Role is Important to Us:

Our healthcare system is under tremendous pressure as we face ever rising costs, a lack of capacity and dwindling access to quality care. These challenging circumstances have emphasized the need for innovative care delivery models that go beyond the traditional methods of caring for patients. We should no longer accept the fact that millions of people do not have access to proper care and visit Emergency Departments because they have no alternatives. The poor patient experience, the sub-optimal care, and the estimated $75B+ spent on unnecessary ED visits each year, make it extremely clear that something needs to be done.

instED was founded to help address these very problems . We strive to eliminate unnecessary and avoidable visits to Emergency Departments and the inpatient hospital admissions that often follow, by offering quality urgent care services in the comfort and safety of the patient’s home.

We combine an experienced and trained team of clinicians (nurses, paramedics and physicians), an extensive library of proprietary medical protocols, and an industry leading technology platform to serve a quickly growing patient population and avoid unnecessary ED visits 88% of the time .

The Sr. Medical Director, InstED is a key clinical leader and member of the instED management team, responsible for the design/redesign, end-to-end process improvement and ongoing assessment of instED’s innovative medical service delivery offering.

Come join this early stage, growing company and a remarkable team of clinical and business innovators who are passionate about improved patient and provider experience and clinical outcomes.

What You'll Be Doing:

Essential Duties & Responsibilities:

• Support and manage team of 23+ Virtual Medical Control (VMC) clinicians, made up of physicians (EM/FM/IM) and NPs, especially staffing, scheduling, recruiting, and overseeing quality of care and professionalism.

• Recruit, hire, onboard, and coach new VMCs clinicians as our operations continue to grow.

• Using a data-driven staffing management system, optimize staffing to support high-quality care while controlling staffing costs and maintaining high staff and patient satisfaction.

• Design and lead innovations in care delivery to improve value, especially through increased ED/hospital avoidance, and potentially new service offerings.

• Oversee licensing and credentialing, with support from other team members and/or CCA staff, as necessary amidst expanding operations.

• As appropriate, partner with instED Sr. Director of Operations, especially on regulatory issues, such as annual reports to DPH, critical incident reporting, compliance issues, and to ensure optimal care delivery.

• Oversee and support the Quality and Safety Project Manger in building and deploying systems to measure and improve quality of care and VMC performance, as well as clincial protocols to reduce variation in care and outcomes.

• Partner with Senior Director of Operations, and Paramedic Network Delivery Manager around medic performance and periodic trainings and/or case reviews.

• Oversee and support Associate Medical Director in monitoring quality of care, follow-up care, and essential administrative tasks (e.g. scheduling and payroll).

• Partner with Product/Technology team around the development and testing of new features in instED Now, our home-grown care delivery operations platform.

• Support business development, including through generation of pitch support of new leads, subject matter expertise in pitches and negotiations, and as a counterpart to clinical leaders in implementation efforts.

• Thought leadership and preach instED business model, e.g. through conference presentation and/or media opportunities.

• As backup to the Senior Director of Operations, Customer Support Manager, and Associate Medical Director, support service recovery in the setting of customer concerns.

• Support CEO, as appropriate, in interactions with parent company, especially around clinical issues and board meeting preparation.

• As beneficial to the company, identify opportunities for program evaluation or research demonstrating instED’s value.

• Collaborate with instED’s Data Science partner to evaluate questions relevant to the business, e.g. understanding visit volume patterns, ED/hospital prevention, etc.

• Maintain required professional license, credentialing and appropriate CME

• Maintain high-fidelity frontline awareness of care delivery by working two or more VMC shifts per month, on average.

Working Conditions:

Hybrid, Virtual and Standard office conditions.

What We're Looking For:

Required Education (must have):

• MD, DO, or equivalent doctoral degree required.

Desired Education (nice to have):

• Additional training relevant to operating a healthcare business, e.g. Master in Business Administration, Master of Public Health, Master of Public Policy, Master of Healthcare Administration, etc.

Required Licensing (must have):

• Active Massachusetts MD or DO license

Desired Licensing (nice to have):

• Active Rhode Island MD or DO license preferred

• Active New Hampshire MD or DO license preferred

MA Health Enrollment (required if licensed in Massachusetts):

• Yes, this is required if the incumbent is licensed in Massachusetts.

Required Experience (must have):

• 10+ years

• Experience supervising/managing physicians.

• Experience caring for medically and socially complex patients.

Desired Experience (nice to have):

• Excellence in clinical teaching

• Experience delivering care in resource-limited settings

• Clinical expertise in urgent/acute care, including emergency medicine, hospital medicine, or ambulatory acute care, and ideally a mix of these.

• Experience with quality improvement, value-based healthcare, process improvement, and/or program evaluation is desired, although not essential.

• Familiarity with or knowledge of the Medicaid, Medicare, and dual-eligible landscape.

• Experience in clinical care delivery, clinical informatics, stakeholder management, enterprise clinical technology project, program, and product management in healthcare delivery environment

Required Knowledge, Skills & Abilities (must have):

• Superb clinical reasoning and ability to evaluate complex scenarios or judge clinical decisions

• Excellent analytical and problem-solving skills

• Ability to work effectively with team members and collaborators from a wide variety of backgrounds

• Excellent communication skills, particularly writing and persuasive speaking

• Strong executive/organizational skills, as necessary to function in a remote, semi-matrixed, and evolving work team

• Effective teaching and mentorship skills

• Able to lead and direct the work of others.

Required Language (must have):

• English

Desired Knowledge, Skills, Abilities & Language (nice to have):

• Process improvement, PDSA, or other iterative implementation efforts

• Program evaluation

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.