Fairview Health Services Medical Officer Network & Credentialing - Fairview Physician Associates in Edina, Minnesota

Overview

The Medical Officer of Network and Credentialing works collaboratively with the Fairview Physicians Associates Network (FPAN) President, Vice President of Operations and Manager of Provider Enrollment to manage FPAN and Fairview Health Network (FHN) in pursuit of its provider credentialing mission, objectives and strategies and shall have primary responsibility for the oversite of provider credentialing of FPAN and FHN. The Medical Officer of Network and Credentialing shall have primary oversight for Defined Network out of network request management. The Medical Officer of Network and Credentialing of FPAN shall have management and reporting responsibilities to the FPAN President.

This position can be up to a 1.0 FTE with .40 FTE administrative leadership responsibility complimented with a clinical component up to a .60 FTE either working within the Fairview system or in private practice.

Responsibilities/Job Description

  • Serve as the primary physician leader for the credentialing clinical vision of FPAN and assist with the FHN clinical vision to assure effective and efficient delivery of quality medical care.

  • Participate in the management, policy and strategic activities of Fairview as determined from time to time by the FPAN President.

  • Promote clinical integration of the networks and clinical best practices.

  • Carry out all policies established by the FPAN Board.

  • Lead FPAN’s care delivery and quality improvement initiatives including case review and case management initiatives and leadership of the FPAN Care.

  • Support the network in pursuit of the Triple Aim.

  • Liaison to medical officers across the network and at payer organizations dedicated to network clinical integration and provider credentialing.

  • Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.

Qualifications

Required

Education

  • MD or DO degree, completion of a medical residency in any specialty

Experience

  • Two years of leadership within a clinical practice, HMO, hospital, hospital committees, healthcare system, etc.

License/Certification/Registration

  • Medical licensure in the State of MN.

  • Board certification in a medical specialty

Preferred

Education

  • MHA, MPH, MBA or other graduate degree related to healthcare.

Experience

  • Ten years of medical leadership as noted above and at least three years of experience working on healthcare quality. Physician knowledge of statistics and process improvement.

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Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Joined by HealthEast in June 2017, Fairview is one of the most comprehensive and geographically accessible systems in the state, with 12 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area and north-central Minnesota.

Its broad continuum also includes 56 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.

EEO/AA Employer/Vet/DisabledAll qualified applicants will receive consideration without regard to any lawfully protected status.

Requisition ID 2018-28263

Profession Executive Professional

Speciality Leadership/Management/Executive

Location Fairview Physician Associates at Southdale Place

Shift day

Hours per 2 weeks 32

Department Administration