Medical Director (Population Health)
Accolade

Job Info

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About Accolade
Accolade (Nasdaq: ACCD) provides millions of people and their families with an exceptional healthcare experience that is personal, data driven and value based to help every person live their healthiest life. Accolade solutions combine virtual primary care, mental health support and expert medical opinion services with intelligent technology and best-in-class care navigation. Accolade's Personalized Healthcare approach puts humanity back in healthcare by building relationships that connect people and their families to the right care at the right time to improve outcomes, lower costs and deliver consumer satisfaction. Accolade consistently receives consumer satisfaction ratings over 90%. For more information, visit accolade.com.

Role Overview

The Medical Director, Population Health reporting to Senior Medical Director, Population Health is responsible for ensuring our 2 million+ advocacy members are receiving high quality, evidence-based care in alignment with the Quintuple Aim. The Medical Director works with a multidisciplinary care team, providing care plan oversight and guidance for medically complex, high-need members in our care management and population health management programs. As a member of the Clinical Strategy and Product team, the Medical Director works closely with clinical operations, clinical strategy and product and customer success to support care management teams, interface with customers and support innovations to help the company improve its advocacy, second opinion service and virtual primary care.

A day in the life...

• Provide physician direction for meeting care management goals to improve member health outcomes.
• Reviews individual member cases concurrently and retrospectively, acting as first-level physician reviewer for all cases referred by Care Management and Quality departments.
• Participate in multi-disciplinary case rounds, providing guidance to the team on cases that require physician expertise.
• Interact and collaborate peer-to-peer with health plan physicians and treating providers to improve member outcomes and quality of care.
• Collaborate cross-functionally to manage the coordination and delivery of quality care and outcomes, member and provider outreach, and care management strategies across the member populations.
• Keep current with accepted standards and professional developments in the areas of quality improvement, population health and care management.
• Serve as a physician subject matter expert on priority product and clinical strategy and product initiatives (such as new offerings, capabilities, performance guarantees, and analytics/reporting tools).
• Develop and maintain a good understanding of how to utilize available data and analytics resources to support population health management programs.
• Participate in the oversight and leadership to ensure outcomes, quality standards, and accreditation standards are met.
• Represent Accolade in external accreditation and audit activities, customer relations and sales activities.

What we are looking for...

• Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO), with an active, unrestricted license to practice in any U.S. state is required
• Master's Degree in Business Administration/Management or Public Health preferred
• 5 - 7 years in direct patient care (hospital, outpatient, or private practice), current part-time practice preferred
• 1 - 3 years in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
• Experience with NCQA, HEDIS, Pharmacy benefit management, managed care, quality improvement, medical utilization management, care management, population health management, disease management, and evidence-based guidelines.
• A proven communicator with demonstrated excellence in high visibility oral and written communications
• Experience communicating with both technical and non-technical stakeholders across multiple teams
• A credible peer for anyone in the leadership of healthcare, an influencer and champion of change
• Comfortable with developing, implementing, managing and executing through influence and in a collaborative manner across a cross-functional set of senior stakeholders

• Data-driven but comfortable with ambiguity. Exceptional problem-solver. Adept at simplifying complexity and developing scalable propositions
• Ability to travel as needed to Accolade offices (PA, WA, AZ, TX, CA)

What is important to us

Creating an enduring company that is hyper-focused on our culture and making a meaningful impact in the lives of our employees, members and customers. The secret to our success is:

We find joy and purpose in serving others

Making a difference in our members' and customers' lives is what we do. Even when it's hard, we do the right thing for the right reasons.

We are strong individually and together, we're powerful

Trusting in our colleagues and embracing their different backgrounds and experiences enable us to solve tough problems in creative ways, having fun along the way.

We roll up our sleeves and get stuff done

Results motivate us. And we aren't afraid of the hard work or tough decisions needed to get us there.

We're boldly and relentlessly reinventing healthcare

We're curious and act big -- not afraid to knock down barriers or take calculated risks to change the world, one person at a time.

Accolade at a glance...

Accolade is a personalized health and benefits solution that dramatically improves the experience, outcomes and cost of healthcare for employers, health plans and their members. With a unique blend of compassionate advisors, clinical experts and intelligent technologies, we engage individuals and families in their health, establish trust, and influence their decisions at every stage of care. Accolade connects the widest array of personal health data and programs to present a single point of contact to the most effective health and benefits resources, while coordinating with providers at every step. Accolade consistently achieves 70 and higher Net Promoter Scores, 98% consumer satisfaction ratings, and up to 15% employer cost savings. Accolade has been recognized as one of the nation's 25 most promising companies by Forbes, a fastest-growing private healthcare company by Inc. 5000, and is consistently rated a Top Workplace across the country. For more information, visit accolade.com.

We strongly encourage you to be vaccinated against COVID-19.

What is important to us...

Creating an enduring company that is hyper-focused on our culture and making a meaningful impact in the lives of our employees, members and customers. The secret to our success is:

We find joy and purpose in serving others
Making a difference in our members' and customers' lives is what we do. Even when it's hard, we do the right thing for the right reasons.

We are strong individually and together, we're powerful
Trusting in our colleagues and embracing their different backgrounds and experiences enable us to solve tough problems in creative ways, having fun along the way.

We roll up our sleeves and get stuff done
Results motivate us. And we aren't afraid of the hard work or tough decisions needed to get us there.

We're boldly and relentlessly reinventing healthcare
We're curious and act big -- not afraid to knock down barriers or take calculated risks to change the world, one person at a time.

Accolade is an Equal Opportunity and Affirmative Action Employer committed to advancing an inclusive environment for all qualified applicants and employees. We provide employment opportunities, without regard, to any legally protected status in accordance with applicable laws in the US. We are committed to help ensure you have a comfortable and positive interview experience.

Accolade, Inc., PlushCare, Inc., and Accolade 2ndMD LLC will never ask you to pay to get a job. Anyone who does this is a scammer. Further, we will never send you a check and ask you to send on part of the money or buy gift cards with it. These are also scams. If you see or lose money to a job scam, report it to the Federal Trade Commission at ReportFraud.ftc.gov. You can also report it to your state attorney general.

To review our policy around data use, visit our Accolade Privacy Policy Page. All your information will be kept confidential according to EEO guidelines.

Accolade

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