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SCAN

Not-for-profit Medicare Advantage plan for seniors

Medical Director

Physicians & SurgeonsConfirmed live in the last 24 hours
Full-timeTucson, AZ, USA

About the Job

Requirements

  • A doctoral degree, specifically an M.D., is required.
  • An unrestricted state medical license is required.
  • At least 5 years of related physician experience is required, preferably including home-based visits, geriatrics, chronic disease management, and hospice or palliative care.
  • Experience with virtual care or telehealth is preferred.
  • Knowledge of treating complex chronic diseases, including dementia, diabetes, heart failure, and chronic obstructive pulmonary disease, is required.
  • Ability to identify team needs and coordinate appropriately with other resources and programs is required.
  • Knowledge of HCC and ICD-10 coding and documentation is required.
  • Knowledge of wound care and management is required.
  • Knowledge of CMS guidelines and Medicare Advantage managed care is required.
  • Ability to initiate goals-of-care and end-of-life discussions is required.
  • Strong interpersonal skills and the ability to build relationships with healthcare team members and patients are required.
  • Cultural competence and sensitivity are required.
  • Knowledge of and ability to maintain HIPAA requirements is required.
  • Ability to adapt, embrace change, and solve problems is required.
  • Knowledge of or ability to learn basic technology skills, including Word, Excel, PowerPoint, Outlook, and electronic medical records, is required.

Responsibilities

  • Directly manage a multidisciplinary team of nurse practitioners and physicians to ensure coordinated, high-quality care delivery.
  • Track and analyze clinical performance metrics related to health outcomes and utilization rates, identify areas for improvement, and implement strategies to enhance care quality.
  • Participate in community stakeholder meetings and address issues related to care provided to residents.
  • Provide education and guidance to clinical team members on geriatrics, complex care, and palliative care.
  • Participate in provider meetings and quality-improvement initiatives aimed at improving patient outcomes.
  • Provide primary medical care to patients in their places of residence.
  • Collaborate with program nurse practitioners and interdisciplinary team members to manage complex patients through in-person and virtual patient rounds.
  • Participate in a telephonic on-call program after hours and on weekends.
  • Provide immediate support to team members for urgent member-care needs, including changes in medical condition and goals-of-care discussions.
  • Maintain accurate and up-to-date electronic medical records and other relevant documentation.
  • Follow regulatory requirements, coding and documentation standards, guidelines, and quality measures established by Medicare and other relevant authorities.
  • Support the achievement of SCAN’s vision and goals.
  • Perform other duties as assigned.

Desired Qualifications

  • Multilingual skills are preferred.
  • Curiosity about artificial intelligence and its potential to transform operations and member service is encouraged.

About the Company

SCAN

Not-for-profit Medicare Advantage plan for seniors

SCAN provides health coverage for seniors through Medicare Advantage and offers community programs like Independence at Home and Volunteer Action for Aging. Members enroll in SCAN’s Medicare Advantage plan to receive medical benefits, and SCAN also runs in-home care and community services that support aging in place, funded by the organization and partners. It differentiates itself as a not-for-profit with a long history (since 1977) focused on seniors and caregivers and backed by strong employee benefits and community engagement. The goal is to help seniors stay healthy and independent by improving access to care and strengthening the communities the organization serves.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Long Beach, CA
Founded
1977

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