Providence Chief Executive, Providence Medical Group Alaska in Anchorage, Alaska
The Chief Executive (CE) provides overall physician and administrative leadership to Providence Medical Group (PMG). The CE is responsible for ensuring the highest quality of medical care delivered by its physicians and support staff, achieving cost effectiveness/utilization of services provided, and oversees physician practice issues. The CE oversees clinic operations and programs to ensure operational controls and efficiencies, financial strength, and successful performance improvements standards.
Providence Medical Group - Alaska is a multi-specialty group with 70 physicians and advanced-practice clinicians serving greater Anchorage and the Matanuska-Susitna Valley. With this strong network of primary and specialty care, Providence Medical Group - Alaska is focused on serving its community and being the best place in the state to practice medicine and receive care.
The Chief Executive, Alaska will be accountable for:
Managing the appropriateness and quality of medical care.
Developing Physician leadership within the PMG.
Developing and implementing clinical practice guidelines.
Developing effective and efficient referral networks within the ongoing delivery systems of PMG operations.
Counselling and training physicians in practice patterns, while maintaining positive working relationships.
Supporting and developing staff in managed care activities.
Balancing multiple priorities and projects.
Maintaining relationships with multiple competing entities within the PH&S.
Formulating plans of action within the environment changes, in an effective and timely manner.
Completing Competency Plan for assigned job and department.
Maintaining the following competencies:
Leads and participates in the strategic development of PMG in line with PH&SA goals, strategies and objectives.
Provides vision, leadership, organization skills, developmental skills, and management skills to initiate and operate physician group practices.
Works closely with Chief Strategy and Administrative Officer in the establishment and operation of support services for the clinics of PMG.
Serves in a supervisory role over the PMG Medical Directors and Clinic Practice Managers.
Participates in the development and implementation of physician leadership training.
Serves as a Region’s principal liaison for employed physicians.
Collaborates with the senior management team to develop and implement plans for the operational infrastructure of systems and workforce planning to accommodate the predicted growth.
Identifies needed changes in management of care and develops, advocates, and implements policy changes.
Leads the development and implementation of assessing patient and provider satisfaction.
Monitors to ensure policy/procedures support efficient and effective patient access to PMG physicians.
Establishes physician productivity standards based on productivity and quality metrics.
Finance & Administration:
Oversees the financial management of PMG including annual budget and clinic operations to achieve budgeted net revenue.
Participates in recruitment of physicians and other key management positions.
Oversees the establishment of physician compensation plans based on productivity and quality metrics.
Provides support to the credentialing and re-credentialing process, and assists in contracting.
Quality & Medical Management:
Serves as a principal liaison for the Region in managed care activities.
Serves as the principal medical manager of quality and utilization management. Leads and oversees the activities and functions of the Quality Council.
Provides leadership and oversight to assure advancing and/or improving quality and clinical outcome initiatives and peer review.
Establishes, oversees and leads committees in the areas of quality assurance, utilization review, outcomes management and reimbursement. Ensures that corrective medical action plans which result from these committees, or other such bodies, are implemented.
Assists in formulation of health service utilization and cost forecasts with ongoing responsibility to monitor and execute controls designated to meet budgeted targets. Works with CFO to meet critical indicators of the PMG's success. Accountable for the PMG’s performance in medical management.
Works with physicians and physician extenders, individually and in groups, to analyze experience and practice patterns. Counsels and trains participating physicians who have questionable patterns of utilizing inpatient or ancillary services, referrals, and/or other medical services.
Interfaces with Providence Health Plan and other insurers to assure access and effective programs of medical management.
Works directly on an individual or group basis with PMG physicians, physician extenders, and/or PMG members to resolve grievances arising from medical care review or medical policy issues. Assists Customer Service in administration of grievance procedures.
Provides review and advice for utilization management policies, criteria, and protocols. Implements medical policy/procedure guidelines, including evaluation of new medical procedures.
Provides daily support and appropriate direction to staff on issues pertaining to prior authorization, concurrent and retrospective review, quality assurance, risk management, and concurrent medical claims review. Develops and recommends medical policy to guide such decisions. Recommends intervention strategies or programs to rectify identified problems.
Participates in retrospective review of problem areas identified from summary data of paid claims, admission, authorization logs, grievance process, and other sources where policy, utilization, or quality issues are involved. Recommends intervention strategies or programs to rectify identified problems.
Actively participates in the Region's medical staff organization. Develops and maintains relationships with all credentialed staff by participation in medical staff meetings.
Develops and maintains current knowledge of laws and regulations governing medical practice in the State of Alaska.
Above all, we are looking for a servant leader whose personal and professional background demonstrates a genuine passion for the mission and core values of Providence Health & Services. You have a style that emphasizes openness, collaboration, visibility, and connectivity. A strong, confident, results-oriented, and decisive leader with the capacity to balance the big picture and strategic perspective with a focus on operations and the details of execution. You can articulate how your work improves healthcare delivery in the communities that we serve.
M.D or D.O. from an accredited program is preferred not required
MBA, MHA, or related Master's degree is preferred
Board certified in appropriate specialty if a physician
Obtain License in State of Alaska in medical specialty if a physician
At least 10 years of experience in a physician group practice or clinic setting
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Leadership
Req ID: 270137