Working with the Sentara Quality Care Network (SQCN) President and Medical Director, oversees the quality, safety, efficiency and effectiveness of the medical care provided by SQCN and its Participants. Serves as a medical manager and policy advisor to the SQCN Medical Director and President, SQCN committees, and participating practices. Is accountable for, and provides professional leadership and direction to, CIN/ACO contracting function, the CIN quality improvement program, Medicare Advantage and population management functions. Works collaboratively with other Sentara Healthcare functions that interface with SQCN as it relates to Total Cost of Care, bundles and Medicare Advantage such as health plan provider relations, member services, benefits and claims management, hospital Medical Affairs and credentialing, quality and peer review committees, etc. Assists in short and long range program planning, quality improvement and developing external relationships. Collaborates with the SQCN Medical Director and other SQCN associate medical directors on medical policies and population health strategies. Works with the SQCN Board of Managers and appropriate Sentara divisions for support, assistance and direction in overall population management and CIN effectiveness.

Education

• MD – Medical Doctor required

• Masters degree in healthcare administration, business, public health or related field preferred

Certification/Licensure

• Unrestricted License in The Commonwealth of Virginia as a Doctor of Medicine or a Doctor of Osteopathy.

• Active license to practice medicine issued by the State Board of Licensure or the State Board of Osteopathic Examiners.

• Certified in a recognized medical specialty as recognized by the American Board of Medical Specialists (ABMS).

Experience

• Minimum 5 years of clinical experience in the practice of medicine.

• Two (2) years of management and/or clinical experience as a physician executive in a clinically integrated network, ACO or managed care environment.

• Experience in Quality Improvement and/or population management required

• Experience or training in Medicare Advantage or a Process Improvement Discipline (e.g. Lean, Six Sigma) preferred.