Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.

We're looking for someone to join our team as a Medical Director who:

Creates a positive culture in line with overall vision for the hospital as determined by the board of directors and executive management. Provides professional medical leadership for quality assurance and utilization management initiatives. Participates in provider network development and new market expansion. Maintains current knowledge on and ensures compliance with federal and agency regulations and represents the hospital to the medical community.

Essential Functions:

• Directs the effective functioning and operations of the in-patient physician organization. Creates a positive and safe work environment. Champions all hospital approved quality and safety initiatives. Serves as quality improvement liaison, addresses patient complaints, provides information to hospital risk management and senior leadership, and participates in medical staff peer review program as requested. Serves as the physician advisor for in-patient services on utilization review matters. Manages functions of Quality Assurance/Utilization Review Committees. Identifies utilization review studies and evaluates adverse trends in hospital utilization, unusual provider practice patterns, adequacy of benefit/payment components and comparative differences in utilization trends by HMO and PPO providers.
• Recruits, interviews, and proctors new Hospitalist physicians. Oversees the completion of new physician orientation and conducts annual performance reviews with each regular/core hospitalist physician. Communicates to hospitalist physicians on policies, procedures, and related practice information and work flows. Provides medical expertise with respect to planning and establishing goals and policies to improve medical management. Works collaboratively with member services, medical services, provider relations and the executive director to prepare, deliver and encourage implementation of recommendations to provider member for actions which would improve utilization.
• Participates in the review and assessment, and provides advice on, complex, controversial and/or unique claims which are outside the realm of medical policy. Solicits and evaluates advice of outside medical consultants and physicians with respect to complex or controversial claims or experimental and innovative techniques.
• Participates in provider network development and new market expansion as appropriate. Participates in the review, assessment and negotiation of provider contracts as appropriate. Collaborates with the executive director in the development and implementation of physician education. Performs other job-related duties as assigned.

You'll be successful with the following qualifications:

Education:

• Completion of a recognized course of study such that s/he is a lawfully licensed provider in the State of California, Washington, Oregon or Hawaii: Required
• Master's Degree in business administration, management, health care management, or related field: Preferred

Work Experience:

• Five years in-patient medical experience as a physician: Required
• Three years management experience: Required
• Prior experience in a medical director role: Preferred
• Clinical practice and experience in the development and management of utilization review and quality assurance programs or equivalent relevant experience/education: Required

Required Licenses/Certifications:

• Licensed provider in the State of California, Washington, Oregon or Hawaii: Required

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

The estimated base pay for this position is $139,004 to $173,754. Additional individual compensation may be available for this role through years of experience, differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.