Medical Director - Colonial Healthcare - Sumter, Sc

Colonial Healthcare, part of the Optum family of businesses, is seeking a Medical Director to join our team in Sumter, SC. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Colonial Family Practice is located throughout Sumter, Columbia, Camden, and Manning, South Carolina. Colonial offers primary care, urgent care, pediatrics, pain management, behavioral health, neurology, lab and in house diagnostics with over 50 providers across 11 clinics.
The Medical Director provides engaging leadership to the physicians and APCs through communication, guidance, and representation to support business goals and outcomes. The Medical Director is also an actively practicing Physician providing patient care.
Primary Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Medical Director Functions: Oversees Clinical Operations: Directly supervises Colonial Physicians and Advanced Practice Clinicians (APCs), ensuring optimal clinical performance and patient care.Performance Management: Sets clear performance goals and objectives, conducts regular quarterly performance reviews, and provides constructive feedback to improve individual and team performance.Administrative Leadership: Manages administrative functions for Physician and APC direct reports, including PTO scheduling, credentialing, licensing, and compliance with regulatory requirements.Understands the goals and aims of the business, including UHG and Optum's Mission, Value Based Care, Medicare Advantage, Quality Metrics, membership growth strategies, Risk Adjustment, as well as other tools, programs, initiatives and pathways to success.In collaboration with the Market Medical Director explains, educates and coaches providers about the inputs, variables and effects of items such as Quality Metrics and STAR.Ensures all physicians maintain a focus on Quality for our patients, physicians and payer partners.Understands the larger Optum organization and can work effectively with other units within the organization.Utilizes clinical and business knowledge to share best practices related to quality measures, translates business and financial issues to providers, assesses and advises practices regarding optimal practice efficiencies impacting clinical, operational and financial success.Builds strong and encouraging relationships with other providers. Creates an engaged team through frequent interactions. Maintains a meaningful work relationship with each practicing primary care provider.Educates, coaches and guides other providers, other medical directors, internal staff, teams, teammates, and others to achieve specific goals. Provides support and clinical expertise to the Quality Team.Acts as a clinical liaison with the Marketing and Talent Acquisition teams. Consults and advises the Compliance Committee, Quality and Clinic Operations Teams and other internal teams. Acts as a liaison between practicing providers and Colonial Senior leadership.Sets goals to decrease cost of care, including operational/facility costs, low value and inefficient care, unneeded/high cost specialty referrals, high pharmacy spend, and other measures. Engages providers to create action plans as needed to ensure target goals are met.Provides guidance for clinical patient care issues identified by the clinical teams.Provides input and direction to the Operations Team on Specialty, Primary Care and facility adequacy and preferred high quality vendors.Holds proactive and strategic discussions with Analytics and market operations on the contents of the bonus structure.Communicates effectively by selection of appropriate communication tool to deliver critical messages, depending on audience and issue addressed.Identifies and mentors high potential Lead Physicians.Actively weighs in on non-clinical issues from a physician's perspective.Identifies and provides information that is useful to providers, such as CMS rule changes, Optum System or Process changes.Physician Functions: Prescribes or administers treatment, therapy, medication, vaccination and other specialized medical care to treat or prevent illness, disease or injury.Orders, performs and interprets tests and analyzes records, reports and examination information to diagnose patients' condition.Collects, records and maintains patient information such as medical history, family medical history, reports and examination results. Recordkeeping must be orderly and clinically complete as required by Colonial, part of Optum, and/or any applicable laws, ordinances, standards of medical practice, risk management or quality assurance programs, or as required by external accreditation organizations.Monitors patients' conditions and progress through scheduling regular follow-up visits, lab or other test results. Reevaluates treatments as necessary.Explains procedures and discusses test results or prescribed treatments with the patient.Advises patients concerning diet, activity, hygiene and disease prevention. Provides health and wellness advice.Refers patients to medical specialists or other practitioners as necessary.Coordinates work with nurses, social workers, rehabilitation specialists, pharmacists, psychologists, and other health care providers.Directs and coordinates activities of clinical staff involved in the patients' care along with the cooperation and input of practice management.Provides professional services to current patients of the practice, or to those who are referred to the practice.Actively markets the services of the office and organization by appropriate means, including actively participating in building rapport with other physicians and health care practitioners in the community.Cooperates and abides by the policies and decisions of AHN peer review, quality management, risk management, and utilization management programs.Works cooperatively with all AHN employees and management and presents a professional manner.Completes administrative duties and all other duties in a responsible and timely manner at all times.Coordinates with physician partners to provide "on call" coverage as needed. Provides coverage during evenings, weekends, holidays and vacations.Holds professional corporation ownership for Colonial.Other Functions: Leads, actively participates in and attends meetings and participates on committees as requested.Other tasks and duties pertinent to practicing medicine within standard of care.Reviews current literature and attends training sessions and seminars to keep informed of new developments in the field.Performs other related duties and responsibilities as directed.Colonial Healthcare, joined Optum in 2024, is a primary care medical practice with additional specialties and ancillary diagnostic services that focuses on families. Colonial Healthcare aims to enhance the overall quality of life for their patients. To achieve this objective, they adopted a patient-centric approach that focuses on providing continuous, high-quality care across the entire lifespan, ranging from childhood to adulthood. The organization emphasizes on incorporating cutting-edge medical advancements while maintaining strong ties to family values and nurturing relationships with their patients. Together, we're making health care work better for everyone.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications: A valid and unrestricted medical license in the state in which they practice and within the specialty (if Specialist).5+ years of recent experience in clinical practice.5+ years of experience in a leadership role in a medical facility or related environment.Proven ability to remain in good standing with credentialing requirements.Proven ability to maintain clinical privileges at the hospitals used to treat patients.Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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