Full-Time

Physician – Primary Care

Martin's Point Health Care

Martin's Point Health Care

501-1,000 employees

Not-for-profit health care organization

No salary listed

No H1B Sponsorship

Portsmouth, NH, USA + 1 more

More locations: Portland, ME, USA

In Person

Category
Medical, Clinical & Veterinary (1)
Required Skills
Risk Management
Requirements
  • Board certification as MD or DO
  • Active and unrestricted license to practice medicine in the state(s) in which the physician is assigned to work
  • DEA license
  • BLS Certified
Responsibilities
  • Ensures that all patients receive welcoming access to high-quality, patient-centric care and education.
  • In collaboration with Practice Medical Director and Practice Administrators, contributes to the design and implementation of site-specific policies and procedures as well as those vetted through organization-wide physician and administrative leadership.
  • Engages in professional and non-professional activities of the health care center and assures compliance with appropriate standards required by all government agencies and conforms to policies, regulations, and procedures required by MPHC.Monitors and evaluates the ongoing clinical Quality Improvement operations, reports findings to PMD/PAdmin committee, and recommends program modifications or improvements for quality of care.
  • Supports ongoing assessment projects to ensure patient care is continually improving.
  • In partnership with PAdmin, reviews and supports action planning in response to CAHPs scores.
  • In partnership with physician recruiter, engages in recruitment and onboarding activities for new physicians and mid-level practitioners. Interviews candidates for site recruitment.
  • Coordinates with enabling departments to ensure clinical partnership and organization’s strategic objectives are met—including Credentialing, Risk Management, Quality, IS, Finance, Human Resources, and Compliance.
  • Conducts regular reviews of patient charts to ensure compliance with agreed-upon and medically-dictated standards.
  • Provides medical care customarily provided by physicians who practice in respective specialty.
  • Provides Medical Services as directed by MPHC.
  • Physician will also perform such other duties as are requested by MPHC consistent with Physician’s position as a physician employee of MPHC.
  • Maintains excellence of care delivery—defines standards and acts as model in delivery.
  • With site team, establishes areas of focus, both present and future.
  • Oversees chart and case review and helps define scope and expectations from clinicians
  • Supports and/or participates in Quality Improvement initiatives and development
  • Supports and/or participates in Population Health initiatives
  • Participates in daily huddles and regular team meetings to improve workflows and contribute to improving patient population outcomes
  • Monitors payer quality programs.
  • Disseminates results of quality improvement vs. benchmarks
  • Encourages increased use of the health center by monitoring physician and patient satisfaction within the health center including all services, policies, and staff-customer relations.
  • Monitors patient complaints.
  • Assists with orientation for new patients and the community and informs patient population about ongoing offerings through the health centers.
Desired Qualifications
  • 3+ years of direct patient care experience preferred
  • 3+ years of applicable experience with managed care preferred
  • Demonstrated experience working with Clinicians to deploy best clinical practices
Martin's Point Health Care

Martin's Point Health Care

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Martin's Point Health Care is a not-for-profit health care organization that provides medical services to individuals and families. Its offerings include a range of primary and specialty care delivered through clinics and care teams, with a focus on coordinated, accessible patient care and preventive services. The company reinvests profits back into the organization to improve care, expand community benefits, and keep services affordable. Unlike for-profit competitors, it emphasizes community health impact and long-term patient relationships, supported by a mission-driven, member- or patient-centered approach. The goal is to improve the health of the communities it serves by delivering high-quality, affordable care and reinvesting earnings to enhance services and access.

Company Size

501-1,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Portland, Oregon

Founded

1981

Simplify Jobs

Simplify's Take

What believers are saying

  • Avoided litigation costs and uncertainty through July 2023 DOJ settlement.
  • Whistleblower award of $3.82M incentivizes internal compliance reporting.
  • DOJ settlement deters competitors from similar Medicare Advantage upcoding practices.

What critics are saying

  • DOJ launches post-2019 False Claims Act probes using Wilbur precedent within 6-12 months.
  • CMS 2024 model cuts reimbursements by validating fewer diagnosis codes in 3-6 months.
  • New whistleblowers sue over DxID vendor HCC additions, penalties exceed $22M in 12-18 months.

What makes Martin's Point Health Care unique

  • Martin's Point operates Medicare Advantage plans in Maine and New Hampshire.
  • Settled $22.48M DOJ False Claims Act case in July 2023 without admitting liability.
  • Whistleblower Alicia Wilbur filed qui tam suit in 2018 exposing risk adjustment issues.

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Benefits

Professional Development Budget

Company News

PR Newswire
Jul 31st, 2023
Martin'S Point Health Care Risk Adjustment Settlement

PORTLAND, Maine, July 31, 2023 /PRNewswire/ -- Today, Martin's Point Health Care announced that it has agreed to a settlement with the U.S. Department of Justice (DOJ) to resolve an investigation related to Martin's Point's Risk Adjustment practices for the payment years 2016-2019. The claims resolved by the settlement are allegations only, and there has been no determination of liability. The settlement is not related to member care or the payment of member claims.Martin's Point worked collaboratively with the DOJ during the course of the investigation. Despite denying liability for the litigation claims at issue, Martin's Point ultimately determined that settlement of this matter was appropriate rather than engaging in the cost and uncertainty of protracted litigation.A spokesperson for the organization commented: "This settlement is not an admission of liability, it instead allows us to avoid the disruption, expense, and uncertainty of litigation. It is important to note that this investigation is unrelated to member care or payment of member claims