Medical Director – Population Health, Provider Education

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🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $214.1k - $297.9k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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NJM Insurance Group

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1913

🚘 Automotive

🏥 Healthcare

⚖️ Legal

Automotive • Healthcare • Legal

NJM Insurance Group is a well-established insurance provider offering a range of personal and commercial insurance products. Their services include auto, homeowners, renters, condo, commercial auto, and business insurance, with a focus on exceptional customer satisfaction and claims experience. NJM is recognized for its outstanding auto claims experience by J. D. Power and is committed to serving customers in states like Connecticut, Maryland, New Jersey, Ohio, and Pennsylvania. The company prides itself on being straightforward and customer-focused, without jingles or mascots, offering trusted insurance solutions and multiple discount opportunities for various policies.

📋 Description

• Design curriculum for provider education including value based clinical workflows, utilization reduction strategies, quality, member experience, health equity, and risk adjustment • Develop provider education materials and approaches for providers • Collaborate with internal and external SMEs to receive relevant materials and insights • Research and incorporate global, national, and state based leading evidence based practices • Create provider transformation evaluation process for benchmark and interval evaluation • Identify and refine key KPIs in collaboration with partners • Research forward-thinking transformation practice models for incorporation into partner playbooks • Partner with network facilities and providers to develop and implement initiatives • Serve as physician SME for projects related to transformation and Health Care Value • Design, update, implement, and review biannual value-based partner population health surveys

🎯 Requirements

• Medical Doctor (MD) or Doctor of Osteopathy (DO) degree required • Minimum of 10 years clinical experience in patient centric/value based setting, NCQA certification preferred • Minimum of 5 years medical management experience in a managed care setting • Physician leadership experience in integrated delivery systems with financial accountability • Experience with management of physicians and non-physicians

🏖️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement