Senior Medical Director of Population Health at UMass Memorial Health Care in Worcester, MA

General Responsibilities:

The senior medical director reports to the Chief Medical Officer (CMO) of Population Health. As part of the Population Health clinical leadership team, the medical director is responsible and accountable for assisting in the transformation of UMMHC to a clinically integrated health care delivery system across all venues for UMMHC patients and affiliated independent hospitals and health systems.

The senior medical director will oversee the development and continuous enhancement of current clinical guidelines working to educate other physicians and clinicians about the value of these guidelines in fostering true population health.

The senior medical director will supervise the existing medical director team in strategic development and implementation of population health clinical initiatives and be the operational lead in collaboration with the Chief Administrative Officer (CAO) of population health.

The senior medical director provides clinical expertise for the non-clinical population health team and pursues continuous quality improvement.

The senior medical director will attend, and may lead, regular and ad hoc meetings and planning sessions as required. He/she will also participate in a clinical leadership group (Medical Director’s Group) as established and managed by the CMO of Population Health

The senior medical director will collaborate closely with Office of Clinical Integration-Population Health staff in the functional areas of reporting and analytics, practice improvement, care management, outreach, coding, program management, finance and operations.

As determined by the CMO of Population Health, the senior medical director may represent the Office of Clinical Integration at presentations and meetings with health care organizations or departments associated with UMMHC, the Managed Care Network, the UMass Accountable Care Organization or other external organizations.

Specific Responsibilities

The senior medical director will promote the use of evidence-based medicine, encourage patient engagement, facilitate care coordination strategies, use data and analysis to promote quality improvement and foster a focus on patient-centeredness.

The senior medical director will provide services including but not limited to:

• Supervise & Oversee Medical Director Team under direction of CMO

• Test and establish standard processes for learning, sharing and intervening to improve patient clinical outcomes and provider quality and utilization performance.

• Based on analysis of data related to the all populations, identify certain medical conditions which could benefit from active intervention. Develop, formulate and facilitate evidence-based interventions with the specialties (such as the Emergency department and Integrated Behavioral Health providers, etc.) and care management teams to improve clinical outcomes. Test, measure, and evaluate the success of those interventions.

• Participate in the development of quality improvement strategies and implementation of initiatives to ensure improved outcomes.

• The senior medical director will provide clinical management and oversight for the UMass Memorial Population Health Care Management Teams and ensure the care mgt resources are aligned with the goals & objectives reflected in our population health OCI A3.

• Develop and implement a risk-stratified care management model for patients/beneficiaries in the Medicare ACO as well as other emerging risk agreements.

• Direct and advise the care management teams in executing care management workflows and activities.

• Participate in the ongoing development and implementation of a system wide longitudinal care model to coordinate care.

• Participate in the development and continued improvement of performance dashboards and provider performance reporting for the various populations under care management.