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Medical Director, Complex Care

Company: Clover Health
Location: Jersey City
Posted on: May 16, 2018

Job Description:

We're looking for Medical Director to be the physician leader responsible for our complex care population. The Director will lead Clover's clinical efforts to manage our neediest members, those with major complex chronic conditions, the frail elderly, and advancing illness. Our ideal candidate must have strong experience and comfort in managing higher acuity patients in less intensive care settingsworking with patients and their caregivers to provide care that aligns with patient preferences and wishes.

The Medical Director will also be the clinical lead of a small internal operational team, responsible for setting and assuring standards of clinical excellence, and will be partnering with operational, product and design stakeholders to support this effort. You must believe in the importance of an interdisciplinary team to deliver whole-person care and be able to lead continuous quality improvements efforts, quality assurance, and program design. You must be comfortable working in a fast-paced environment and focused on measurable outcomes that include member experience. Within the context of a payor organization, you will have the opportunity to affect the scope of services offered and help build our tech tools to support empathetic clinical care. The Director must be systems-oriented, tech savvy, and completely committed to member-centric care.

If you are a clinician who is deeply committed to providing high quality care, systems-oriented, tech savvy and committed to using tools to support these efforts, come join the Clover team!

As a Medical Director for Complex Care you will:


  • Be the clinical champion for Clover's members with highest needs.
  • Take responsibility for overseeing the clinical quality of Clovers in-home primary care program including quality improvement and quality assurance.
  • Work to expand the spectrum of services to support our complex population.
  • Act as clinical leader in working with our provider network to ensure high-quality transitions in clinical management.
  • Help lead the expansion of complex care programs into new markets.
  • Be responsible for assuring that Clover's efforts are informed by the latest literature and emerging best practices in home-based care.
  • Work closely with our Chief Scientific Officer to assure that we test and measure the impact of our programs and achieve intended clinical outcomes.
  • Work closely with Chief Medical Information Officer to manage the relationship between clinical and technology assets internally

    You will love this job if:


    • You are passionate about helping others and being a patient, positive, and collaborative leader.
    • You are humble and understand that as a manager of people, you are there to serve and support to ensure that every person interacting with Clovers core, back-office operations is set up for success.
    • You can distill the needs of your customers and team members down to actionable improvements that can be made in Clover's product or procedures. And, you can do it while keeping Clover compliant to fiercely protect the privacy and rights of our customers.
    • You are nimble, and comfortable working in a constantly evolving environment. You embrace ambiguity and speed while maintaining a bias towards action.

      You should get in touch if:


      • You have at least 5 years of high touch clinical experience, ideally with geriatric populations and with experience across care settings (e.g., acute, subacute, ambulatory, home).
      • You have experience in quality improvement and quality assurance.
      • Have experience leading an interdisciplinary care team.
      • You are deeply committed to person-centered approaches to care.
      • You have a keen ability to scope and drive focused execution in a broad and complex environment.
      • You have strong verbal and written communication and interpersonal skills, including motivational interviewing.
      • You have prior experience in managed health care environments; Medicare Advantage is a plus.
      • You are a licensed physician (MD or DO), ideally in the state of NJ.

        Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

        About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

        We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

        Keywords: Clover Health, Jersey City, Medical Director, Complex Care, Executive, Jersey City, New Jersey

        Click here to apply!

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