Medical Director, Ventura County Health Care Plan

County of Ventura โ€ข Ventura, California

Company

County of Ventura

Location

Ventura, California

Type

Full Time

Job Description

Please visit www.ventura.org/jobs to view the Brochure for Medical Director, Ventura County Health Care Plan

SALARY:
$211,997.85 - $296,796.99 Annually, plus Benefits

CLOSING DATE: Continuous

The County
From rolling hills to sweeping ocean views, Ventura County is located on California's "Gold Coast," approximately 50 miles northwest of Los Angeles and 30 miles southeast of Santa Barbara. The near perfect Mediterranean climate with an average annual temperature of 74.2 degrees and a wonderful quality of life are a few of the reasons many of the 802,983 residents call Ventura County "home." Ventura has a diverse economic base from tourism to high-tech enterprises in beautifully planned communities, making the region one of the safest in Southern California.

The Health Care Agency
The Health Care Agency is the largest department in the County of Ventura and employs approximately 3,600 people; 1,100 of those in direct patient-care positions. The Health Care Agency is a comprehensive healthcare system that encompasses the Ventura County Medical Center (VCMC), Santa Paula Hospital, 24 primary care clinics, 11 specialty care clinics, Ambulatory Care, the Public Health Department, the Behavioral Health Department, and the Ventura County Health Care Plan. VCMC is also home to the top-rated (by Doximity and U.S. News & World Report) Family Medicine Residency Program in the United States and achieved an "All Cases" meritorious award for surgical care. It is also a West County Level II Trauma Center.
Ventura County Health Care Plan (VCHCP), a fully licensed Plan, was established in 1993 as a practical, cost-effective and innovative alternative to private health care services to eligible employees of the County and their covered dependents. The core medical services are provided by physicians and facilities associated with the Ventura County Medical Center (VCMC) and Santa Paula Hospital as well as other community providers. VCHCP also provided insurance coverage for employees of physician groups through the end of December 2022.

Medical Director, Ventura County Health Care Plan
Under general supervision of the Deputy Director Health Care Agency for the Ventura County Health Care Plan (VCHCP), will perform duties set forth in the California Knox- Keene Health Care Service Plan Act as well as regulations and Health and Safety code for VCHCP, a Department of Managed Health Care (DMHC) licensed Commercial HMO. This position is part of a team of 65 (including contractors), with no direct reports, and a $90 million dollar budget. In accordance with the National Committee on Quality Assurance (NCQA), the Medical Director, Ventura County Health Care Plan is responsible for the leadership and direction in planning, and coordinating medical reviewer staff to ensure appropriate, professional, and cost-conscious inpatient and outpatient health care to VCHCP assuring the quality of care provided to the members of the health plan by institutions, physicians, and allied professionals. As a licensed health Plan, VCHCP is required to be compliant with all regulatory requirements of any other large insurance plan.

The Successful Candidate
The ideal candidate will be collegial, engaged, and mission driven. Additionally, the successful individual will have an extensive background in licensed HMO operations, regulatory requirements, chairing various required committee meetings and leading the medical services departments through changes in the healthcare delivery landscape.

Medical Director, Ventura County Health Care Plan is an at-will classification which is exempt from the provisions of the Civil Service Ordinance. The incumbent will receive Management benefits and is exempt from overtime compensation.

QUALIFICATIONS:

Doctor of Medicine or Osteopathy Degree and current license to practice medicine in California without restrictions. Completed residency in primary care field of specialization (i.e. Family Practice, Internal Medicine, Pediatrics or Obstetrics/Gynecology).

Additional qualification requirements:
  • Must be Board certified in California.
  • Thorough knowledge of the current principles and techniques of diagnosis and treatment.
  • Experience with managed care.
  • Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review systems and programs.
  • At least three (3) years of direct patient care medical practice experience.
  • At least three (3) years of administrative experience.
DESIRED QUALIFICATIONS:
  • National Committee for Quality Assurance accreditation experience.
  • Experience/knowledge of pharmacy and plan formulary.
HOW TO APPLY:
To apply for this exceptional career opportunity, please send a resume and a cover letter that illustrates your experience as a Board Certified Doctor of Medicine and includes the following:
  • Experience with managed care
  • Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review systems and programs
  • Direct patient care medical practice experience
  • Administrative experience
  • National Committee for Quality Assurance accreditation experience
  • Experience/knowledge of pharmacy and plan formulary.
If interested, you may do one of the following:RESUME EVALUATION:
All relevant work experience, training and education need to be included in order to determine eligibility.

INTERVIEW PROCESS:
Following a structured evaluation of the resumes, the most qualified candidates will be invited to a panel interview. The top candidates, as determined by the panel, will then be invited to a second interview with County executive management. The interviews may be consolidated into one process or expanded into multiple interviews contingent upon the size and quantity of the candidate pool.

EQUAL EMPLOYMENT OPPORTUNITY:
The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.

CONTACT INFORMATION:
For further information about this recruitment, please contact Judy Larson by email ย Show Contact Detailsย  or by telephone atย Show Contact Detailsย .

Contact Information

Show Contact Details
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Date Posted

11/24/2024

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