How will this role have an impact?
The dedication of talented and caring health care professionals drives the delivery of high quality, cost effective products and services. They make it possible for members to get the right health care for their needs, while at home – and for Signify Health to keep its competitive edge. Reporting to the Chief Medical Officer, Health Care Services (HCS), the Senior Medical Director partners with the CMO to provide leadership of clinical activities that play a pivotal role in driving clinical excellence and innovation. Leveraging advanced technologies and data analytics, the Senior Medical Director leads strategic initiatives to optimize outcomes, ensure regulatory compliance, and enhance the overall quality of the in-home evaluation (IHE) and diagnostic and preventative services (DPS). This position combines medical expertise, leadership acumen, client-centric communication and a forward-thinking approach to improve health on a scalable, impactful level. The Senior Medical Director interacts and engages with internal and external stakeholders, such as Executive Leadership,Signify network clinicians, Data Analysts and Data Scientists, Product developers, They make strategic decisions based on their thorough understanding of clinical quality management, healthcare industry issues, trends, and the regulatory landscape and identifies opportunities for improvement and take initiative to improve both new and existing programs.
What will you do?
Leadership and Team Management:
o Provide strategic leadership including mentoring, coaching, and performance management.
o Collaborate with other functional leaders to ensure alignment and integration of clinical initiatives with overall organization goals.
o Foster a culture of continuous learning, innovation, and excellence within the clinical team.
Clinical Strategy and Oversight:
o In collaboration with the Chief Medical Officer, develop and execute clinical strategies to improve health outcomes.
o Monitor and evaluate clinical performance metrics and outcomes, making data-driven decisions to drive improvement.
Quality Improvement and Monitoring:
o Develop and implement quality improvement programs and initiatives to enhance member and provider safety, satisfaction and quality.
o Develop and implement quality improvement programs and initiatives to enhance clinician safety and satisfaction in collaboration with other stakeholders.
o Collaborate with stakeholders to identify areas for improvement and drive initiatives to address gaps and optimize processes.
Clinical Documentation Accuracy (CDA):
o Lead efforts to monitor CDA, adherence to best practices, and Signify clinical guidelines across all clinical programs.
o Work closely with data science and business enablement on methodology for reporting.
Regulatory Compliance:
o Ensure compliance with regulatory requirements, credentialing standards, and quality metrics set by regulatory bodies and industry organizations.
o Oversee regulatory and compliance teams to develop and maintain policies, procedures, and documentation related to quality and clinical effectiveness.
Collaboration and Communication:
o Collaborate with internal and external stakeholders to optimize member and provider experience and outcomes.
o Communicate effectively with executive leadership, presenting clinical insights, strategies, and performance reports.
Research and Innovation:
o Stay updated with the latest clinical research, trends, and technologies relevant to diagnostic and preventative services.
o Drive innovation by identifying opportunities for new programs, services, or partnerships that enhance member care and outcomes.
o Support research initiatives aimed at evaluating solution outcomes.
Sales and Account Management Support:
o Collaborate with the sales and business development teams to support client acquisition and retention efforts.
o Ensure provision of clinical expertise and insights during client meetings, presentations, and negotiations.
o Act as a medical advisor and liaison for key client accounts, addressing clinical inquiries, concerns, and escalations.
We are looking for someone with:
The base salary hiring range for this position is $190,000 to $300,000. Compensation offered will be determined by factors such as location, level, job-related knowledge, skills, and experience. Certain roles may be eligible for incentive compensation, equity, and benefits.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. Eligible employees may enroll in a full range of medical, dental, and vision benefits, 401(k) retirement savings plan, and an Employee Stock Purchase Plan. We also offer education assistance, free development courses, paid time off programs, paid holidays, a CVS store discount, and discount programs with participating partners.
About Us:
Signify Health is helping build the healthcare system we all want to experience by transforming the home into the healthcare hub. We coordinate care holistically across individuals’ clinical, social, and behavioral needs so they can enjoy more healthy days at home. By building strong connections to primary care providers and community resources, we’re able to close critical care and social gaps, as well as manage risk for individuals who need help the most. This leads to better outcomes and a better experience for everyone involved.
Our high-performance networks are powered by more than 9,000 mobile doctors and nurses covering every county in the U.S., 3,500 healthcare providers and facilities in value-based arrangements, and hundreds of community-based organizations. Signify’s intelligent technology and decision-support services enable these resources to radically simplify care coordination for more than 1.5 million individuals each year while helping payers and providers more effectively implement value-based care programs.
To learn more about how we’re driving outcomes and making healthcare work better, please visit us at www.signifyhealth.com
Diversity and Inclusion are core values at Signify Health, and fostering a workplace culture reflective of that is critical to our continued success as an organization.
We are committed to equal employment opportunities for employees and job applicants in compliance with applicable law and to an environment where employees are valued for their differences.
