HRA Supervising Physician
Posted on: 25 Aug 2021
San Francisco, CA
Job Description
Supervising Physician
Direct supervisor for assigned staff, including performance management activities, staff development, orientation and training activities.
Works to achieve quality medical care and outcomes for patients, in a cost-effective manner.
Provides "on call" coverage as requested, generally as back up physician.
Improves clinical outcomes through daily interactions with providers, using education and excellent written and verbal communication skills.
Provides direct daily clinical oversight for new providers until such a time as oversight can be decreased with a minimum of 10% review of records.
Participates in quality processes such as medical documentation audits, inter rater reliability actions and quality projects.
Serves as a mentor or coach to nurse practitioners in ongoing quality and performance improvement processes.
Improves provider relations through direct communication, knowledge of appropriate evidence-based clinical information, and the fostering of positive collegial relationships.
Addresses customer service issues with mentoring and support from leadership staff.
Investigates and responds to client or stakeholder questions to assist in resolving issues with mentoring and support from leadership staff.
Achieves customer satisfaction and regulatory/accreditation agency compliance goals by assuring timely and complete documentation, including documentation of appropriate clinical measures and metrics.
Provides clinical insight and management support to other functional areas and matrix partners as needed or directed.
Qualifications
Board-certified physician in an ABMS or AOA-recognized specialty and with a current unrestricted medical license.
Exhibits ethical and professional behavior.
Minimum of 5 years of clinical practice experience beyond internship, residency, or fellowship training.
Preferred: Prior physician leadership positions.
Preferred: Experience in medical and case management, knowledge of HEDIS and Stars measures and managed care experience.
Computer Competency: Microsoft Office - Word, Powerpoint, Excel competency, EMR utilization, on line medical research.
Ability to work within a changing business environment and balance patient advocacy with business needs.
Experience with managing multiple projects in a fast paced matrix environment.
Demonstrated ability to educate colleagues and staff members.
Successful experience with change management.
Demonstration of strong and effective teamwork, negotiation, conflict management, decision-making and problem-solving skills.
Successful ability to assess complex issues, to determine and implement their solutions, and to resolve problems.
Success in carrying out and maintaining cooperative, successful relations with diverse internal and external stakeholders.
Demonstrated sensitivity to culturally diverse situations, participants and customers
Cigna
Bloomfield, CT
Cigna Corporation, a health service organization, provides insurance and related products and services in the United States and internationally. It operates through Integrated Medical, Health Services, International Markets, and Group Disability and Other segments. The Integrated Medical segment offers medical, pharmacy, dental, behavioral health and vision, health advocacy programs, and other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers on and off the public exchanges.
The Health Services segment provides clinical solutions, specialized pharmacy care, home delivery pharmacy, retail network pharmacy administration, benefit design consultation, drug utilization review, drug formulary management drug claim adjudication, digital consumer health and drug information, provider, and medical benefit management services. The International Markets segment offers supplemental health, life and accident insurance products, and health care coverage, as well as health care benefits to mobile employees of multinational organizations.
This segment offers health coverage, hospitalization, dental, critical illness, personal accident, term life, and variable universal life products. The Group Disability and Other segment provides group long-term and short-term disability, group life, accident, and voluntary and specialty insurance products and related services; and permanent insurance contracts to corporations to provide coverage on the lives of certain employees for the purpose of financing employer-paid future benefit obligations. The company distributes its products and services through insurance brokers and insurance consultants; and directly to employers, unions and other groups, or individuals. Cigna Corporation was founded in 1792 and is headquartered in Bloomfield, Connecticut.
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IndustryHealthcare
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No. of Employees73,800
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Website
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Jobs Posted1726
