- Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.
- Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.
- Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients' lives or our partners' best interests.
- Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.
- Tenacity: We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients and partners.
- We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including:
- Subsidized, personal healthcare coverage (medical, dental vision)
- Flexible PTO
- Professional Development, CEU, and Tuition Reimbursement
- Curated Wellness Benefits supporting teammates physical and mental well-being
- Community engagement opportunities
- And more
- Provides physician leadership to field care teams providing care management services for patients and reviews comprehensive patient care plans and identifies opportunities for care improvement across the spectrum of patient's total health.
- Serve as collaborative physician to provide oversight to nurse practitioner(s) performing risk adjustment visits in relevant states.
- Provides physician leadership presence to market field teams and clinical oversight to drive key quality and utilization performance outcomes.
- As needed, conducts case reviews to help identify opportunities for local and market field teams to improve quality of care.
- Applies evidence-based clinical guidelines in assessing appropriateness of utilization to identify opportunities for improved efficiency of care.
- Supports market operations teams with development and implementation of Somatus population health clinical programs, including clinical quality oversight of care team execution, in order to achieve improvement in clinical, utilization, and total cost of care outcomes.
- Partners with SVP Medical Management to improve market-specific clinical outcomes (quality metrics) and utilization outcomes (admission rates, ED utilization rates, and re-admission rates).
- Provides physician representation alongside Market Vice Presidents with market health plan clients, with a focus on enhancing collaboration to advance clinical care.
- Supports market provider engagement teams, including building relationships with local providers as well as providing clinical oversight to Somatus care teams supporting local primary care and nephrology practice partnerships.
- Conducts peer-to-peer discussions where needed with local treating nephrologists, PCPs, and hospitals as needed, focused on clinical collaboration for patient care.
- Provides ongoing education and guidance in leading care team members, with a focus on teammate development and growth.
- Participates in quality improvement work across the organization.
- Maintains strong knowledge of medical and social issues, CKD & ESKD research related to prevention, care and treatment advancements.
- Understands and supports patient stratification, continuous evaluation, and re-stratification of members for appropriate resource allocation.
- Ability to remain flexible to accommodate and support business needs
- Graduate of an accredited medical school. M.D./D.O. degree is required.
- Completion of approved training in internal medicine, family medicine, primary care, emergency medicine, or nephrology and maintains active board certification.
- At least 2-3 years of post graduate experience caring for complex adult populations.
- Possess a valid, unrestricted license to practice medicine in relevant states and willing to pursue additional licensure as required for job duties.
- Demonstrated experience in population health or utilization management.
- Excellent interpersonal, verbal, and written communication skills.
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Population Health Physician - Mclean, United States - Somatus
Description
Overview
More Lives, Better Lived As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.
It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived.
Showing Up Somatus Strong
We foster an inclusive work environment that promotes collaboration and innovation at every level.
Our values bring our mission to life and serve as the DNA for every decision we make:
The Population Health Physician is responsible for providing physician leadership to support Somatus' Population Health care teams in each patient population market.
With a focus on achieving improved quality outcomes for patients, the Population Health Physician provides clinical leadership and accountability, working collaboratively with data/analytics and operations teams, to drive improved quality and utilization outcomes across a multi-state market geography.
In addition, the Population Health Physician may support provider engagement and market level client relationships with a focus on clinical collaboration to advance patient care in support of Somatus' mission.
Responsibilities
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
Qualifications
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Somatus, Inc.provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law.
Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics.
Discrimination of any type will not be tolerated.
