Full-Time

Lead Physician

MD

Posted on 10/30/2024

Clover Health

Clover Health

501-1,000 employees

Medicare Advantage plans for seniors

Healthcare

Compensation Overview

$220k - $260kAnnually

Senior

Jackson Township, NJ, USA

Candidates must be based in Hudson County, NJ, or neighboring areas.

Category
Physicians & Surgeons
Medical, Clinical & Veterinary
Requirements
  • You are based in Hudson County, NJ, or neighboring areas to meet location-based requirements.
  • You have a MD/DO degree and are Board Certified or Board Eligible in Family Medicine, Internal Medicine, Geriatric Medicine and/or Palliative and Hospice Medicine (required).
  • You have an active license to practice in the state of New Jersey (required).
  • You have an active CDS and DEA (required).
  • You have worked in a house calls setting previously, fee-for-service and/or value based (preferred).
  • You enjoy working with patients of diverse social, ethnic, and cultural backgrounds.
Responsibilities
  • Be accountable for the care and outcomes of a cohort of patients to be managed directly, and/or in close collaboration with nurse practitioners.
  • Coach and manage the Nurse Practitioners in your specified geographic area to ensure clinical excellence, individual performance, and ongoing development.
  • Meet key metrics as determined by the practice, such as ensuring our patients are enabled to stay at home whenever possible.
  • Visit patients primarily in their homes, as well as through telehealth when appropriate.
  • Actively participate in Interdisciplinary Team (IDT) Meetings with an attitude of curiosity, and a willingness to teach and learn.
  • Contribute medical expertise during IDT to structure care plans that reflect: Patients' prognoses and disease trajectory, inclusive of goals of care and advanced care planning. Primary drivers of hospitalization/ED risk and need based interventions to mitigate these.
  • Achieve high performance on CMS and NCQA-determined STARS and HEDIS quality metrics, respectively.
  • Provide care that is consistent with medical evidence, including identified clinical protocols.
  • Proactively involve other providers on the patients’ care team, including PCPs, specialists, home health, hospice and home care organizations.
  • Determine the need for consultation from medical, surgical, rehabilitative, and/or psychiatric specialties, which may include deprescribing and simplification where clinically appropriate.
  • Determine the need for, and facilitate care by, an emergency department, hospital, skilled nursing facility, home health agency, hospice and/or community-based organization as appropriate and consistent with patients’ goals of care.
  • Provide medical administrative support, such as signing forms requiring physician signature.
  • Complete documentation of all clinical encounters in a timely and accurate manner in accordance with practice standards, including proprietary Clover tools such as Clover Assistant.
  • Collaborate with the practice Medical Director and Practice Manager in efforts of: Continuous quality and process improvement, including those related to the EHR and Clover Assistant. Ongoing evolution of the care delivery and operational models.
  • Participate in the on call rotation as set by the Medical Director.
  • Establish a positive image for the practice in the medical community.
  • Behave in a way that espouses Clover values.
  • Take on projects and initiatives requested by the medical director and/or the leadership team.

Clover Health provides Medicare Advantage plans tailored for seniors in the U.S. market. Their services include personalized care, fitness memberships, and home checkups, aiming to enhance health outcomes by offering comprehensive coverage that extends beyond traditional Medicare. Clover Health differentiates itself from competitors by focusing on value-added services like drug coverage and Medigap insurance, which helps cover out-of-pocket expenses. The company generates revenue through member premiums and Medicare reimbursements, while prioritizing customer service to ensure members receive individualized support. Clover Health's goal is to grow by expanding its network of healthcare providers and fitness centers, thereby improving the benefits available to its members.

Company Stage

IPO

Total Funding

$1.3B

Headquarters

Nashville, Tennessee

Founded

2014

Growth & Insights
Headcount

6 month growth

-1%

1 year growth

-6%

2 year growth

-10%
Simplify Jobs

Simplify's Take

What believers are saying

  • Increased telehealth adoption aligns with Clover Health's personalized care focus.
  • Growing interest in value-based care benefits Clover Health's comprehensive coverage model.
  • Rising demand for mental health services supports Clover's new program with Quartet Health.

What critics are saying

  • Frequent CFO changes may indicate instability in financial management.
  • The multi-year deal with The Iowa Clinic may strain resources if not managed properly.
  • Clover Home Care's launch may face challenges in scaling and integration.

What makes Clover Health unique

  • Clover Health offers personalized care and home checkups for seniors.
  • The company provides value-added services like drug coverage and Medigap insurance.
  • Clover Health emphasizes customer service and personalized attention for its members.

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