Find your medical career with leading clinically integrated network GSQN. Healthcare jobs in Louisiana including the greater New Orleans area are listed here. Be part of the future of medical care!

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We are looking for highly qualified and motivated individuals to join with us in forging the future of quality medical care!

If you have any questions, please call our office at (504) 457-3341.


Current Openings:


 

 


Chief Medical Officer

Background

This is a newly created statewide position.  The CMO will join a growing team as Gulf South Quality Network expands its footprint in the State of Louisiana.  The job is a “hands-on, roll-up-the-sleeves” type of position, which will give the new physician leader a chance to shape much of the growth of the company.  He/she will work closely with the President in operations, strategy, and physician relations.  Unlike many of the clinical integration companies currently in operation, Gulf South Quality Network has actually moved beyond the planning stages and is well into the activities of Clinical Integration and demonstrable success in the market.

Job Description and Summary

Reports to the Gulf South Quality Network President

Direct reports include:

  • GSQN Director of Quality
  • GSQN Director of Performance Improvement
  • Local Chapter quality personnel

Responsibilities include the development and execution of medical management, utilization management, and quality improvement programs, policies and procedures.  The CMO represents GSQN to the provider network (the “chapters”) and works closely with the local chapter CMOs.  The CMO also participates in the strategic planning for GSQN.  Specific responsibilities of the CMO include working with local chapter CMOs to review the individual cases for medical necessity/appropriateness, review/oversight of quality of care compliant investigations, oversight of overall guidelines and review of credentialing activities, and oversight of mechanisms to monitor, evaluate and improve on the appropriateness, effectiveness and efficiency of services delivered within GSQN.

Job Functions

  • Lead and implement the clinical direction for GSQN.
  • Engage local chapter CMOs and quality teams to ensure optimal deployment of GSQN initiatives and collaborative support of local quality initiatives.
  • Manage the quality program of GSQN.
  • Establish and continue to refine a system for the population health management.
  • Monitor emerging models in the health care delivery; identify and define new and innovative strategies to achieve business goals and objectives.

Identify opportunities to collaborate and develop clinical integration opportunities with sponsors and other health delivery systems to achieve affordable outcomes.   Engage in business development opportunities to include presenting business and clinical capabilities to employers, legislative officials and other key constituents.

  • Provide clinical guidance, support, and education to the member organizations.
  • Oversee and coordinate the activities of the Chapter CMOs and assist them with education, quality improvement, compliance and coaching individual physicians when needed.
  • Provide guidance on provider performance review (utilization, coding or billing issues).
  • Participate in senior management business and clinical strategy development and implementation.
  • Develop and implement strategic goals related to the quality improvement, management programs and accreditation standards.
  • Assist with the analytics and development of quality measures for new payment modes.
  • Work with new value based/risk based payment structures.

QUALIFICATIONS

In brief, the ideal candidate will be a person who has a strong working knowledge of and experience with how the health care dollar is spent and managed.  Ideally, this physician leader will have worked in a capitated/risk or value-based environment and been a key driver of clinical and financial success.

Education

  • Board Certified MD/DO with a strong preference for a primary care physician.
  • Master’s degree helpful but not required.
  • Evidence of continuing education in the area of clinical integration, population health, managed care.

Experience

  • Prior active clinical practice experience required.
  • Medical management/managed care experience strongly preferred.
  • Experience with Medicare managed care plans, capitation arrangements, and government programs.
  • Demonstrated success in leading physicians and others.
  • Fluent in use of clinical information systems to maximize patient care quality and safety.
  • Fluent in their understanding of the myriad of options under discussion or healthcare payment reform: valued-based purchasing, pay-for-performance, bundled payment, risk and gain sharing.
  • Driven the development of  innovations focused on health delivery/outcomes issues within the constructs of managed care or government contracts

Knowledge

  • Well versed in the principle of clinical integration, chronic disease management, and population health.
  • Knowledge of hospital and physicians claims data sets.
  • Expertise in variation management, productivity monitoring, process improvement and dashboard creation and advancement.
  • Knowledge of federal and state policies and procedures.
  • Prior exposure to the negotiation and implementation of managed care contracts.

Leadership

  • Ability to manage across multiple multi-disciplinary teams and organizations.
  • Ability to work as a collaborative team member, including peer relationships
  • Comfortable leading and coordinating other leaders, working in a diffuse and sometimes ambiguous matrix organization structure.
  • Leads through influence.
  • Excellent communication skills, both written and verbal.
  • Strong analytical and problem solving skills.
  • Change management – strong interpersonal and team/group dynamic skills.  Comfortable with the inevitable tension, conflict and negotiation that is associated with broad based organizational shifts in culture and process.
  • Technologic competence – fluent in the use of clinical information systems to maximize patient care, quality and safety.
  • Academic familiarity – understand the relationships and funds flow between the components comprising a delivery system associated with a university, medical school and faculty practice plan.
  • Systems thinker – capable of visualizing the linkages between component parts of the whole and “connecting the dots” that lead to the desired outcomes.
  • Style – flexible, strives for, but not constrained by, consensus building.  Able to create collaborations between those with different agendas and/or viewpoints.  Able to advocate for the “enterprise view’.  Excited and energized by change and opportunity. Confident and assertive, but has his/her ego “in check”.
  • Decisive – able to make decisions with imperfect information and not paralyzed by analysis.
  • Autonomous – works with little direction, seeks counsel when necessary.
  • Energy/Presence – strong work ethic and a willingness to “take the extra step”.
  • Integrity – honest, trustworthy, authentic, professional, values oriented.
  • Politically Astute – diffuses “turf” issues.  Assists in the implementation of key initiatives by being aware of which leaders need to participate in and support a decision and then working to ensure their endorsement and engagement.
  • Excellent leadership skills with demonstrated success in leading physicians and others.
  • Excellent change in management skills with demonstrated success in performance improvement projects.

GOALS AND OBJECTIVES

In the first 12 months, the new Regional Chief Medical Officer should accomplish the following key objectives:

  • Be highly visible and learn the culture. Learn the regions and the culture and the individual sponsor organizations.  Become recognized as an influencer and strategic thought leader for those driving the advancement of population health, moving from an episode-oriented delivery and payment model, to one that is more focused on patient-centric, integrated care across the healthcare continuum.  Become familiar with the local, regional and nation talent and leadership engaged in projects centered on this evolution.  Identify resources and potential partnerships.  Gain credibility and develop relationships with community leaders and philanthropic sources.
  • Lead committees and task forces. Be involved in the committee structures at each of the sponsor organizations.  Serve as a conduit for disseminating information to leadership regarding the latest trends in healthcare delivery, regional and national policy debates, business climate and legislative activity that impacts GSQN’s population health journey.
  • Learn and build clinical strategy associated with GSQN payor contracts. A significant party of GSQN’s success will be tied to managed care payor contracts.  The new physician leader will need to gain a deep understanding of the contracts, the ways in which physicians are rewarded for managing chronic patients and the shared savings contract for the hospitals and help develop overarching “playbook” strategies that allow GSQN to position for payor success.
  • Manage the quality incentive program.  Interact with payor partners to ensure that the measures selected are appropriate; develop further quality measures and incentives.

Apply for This Position | Download Application Form
To apply by email, send a message to kamilligan@gsqn.org

 


Clinical Data Analyst

Department: Clinical Operations

Reports to: Director of Clinical Operations

Status: Exempt

 

Job Summary:

The position of Clinical Data Analyst (CDA) supports the network by analyzing data from various technology tools to support the network in attaining quality and utilization performance goals. The CDA will be responsible for ensuring the integrity, accuracy, timeliness, and individualized reporting ability of the assigned databases.

 

The CDA must be able to review utilization and expense data, to analyze trends and generate reports for network initiatives.  Candidates need to have advanced Excel, SQL and Power Point skills.

 

The CDA will collaborate with Clinical Operations team and the clinical field team at each local chapter to establish strategies to promote increased physician engagement and performance improvement.

 

Additional responsibilities will include creating physician performance reports and scorecards as well as support the team in driving all quality measure goals set forth by the network.

 

Essential Functions:

  • Develop, implement, and maintain automated and integrated methodologies for reporting
  • Develop and maintain monthly and annual physician clinical performance report cards
  • Support initiatives through the collection, analysis, and interpretation of data
  • Ability to prioritize and/or rank identified opportunities in collaboration with the Quality Analyst and other clinical field team members
  • Demonstrate strong analytical and interpersonal communication skills
  • Act as decision support for the CI network
  • Ability to work independently and in a team environment

 

Minimum Requirements:

2 – 4 years of health care data analysis and experience in managed care required. Demonstrate strong analytical skills and possess high-level interpersonal communication skills to interact effectively with all levels within the organization. Excellent computer skills, as well as a thorough understanding of decision support systems and predictive modeling tools.

Apply for This Position | Download Application Form
To apply by email, send a message to kamilligan@gsqn.org

 

 


Clinical Pharmacist

Department: Quality

Reports to: V.P. of Quality

Status: Exempt

Job Summary:

The Clinical Pharmacist will support the Gulf South Quality Network, L.L.C. (GSQN) clinical integration network by utilizing data from various technology tools to educate its physician members about their quality and utilization performance.  The Clinical Pharmacist will be responsible for ensuring the integrity, accuracy, timeliness, and individualized reporting ability of the assigned databases to the network.

Additionally, the Clinical Pharmacist establishes and coordinates all clinical pharmaceutical services for GSQN.  The Clinical Pharmacist will assist in the development and monitoring of pharmacy services including formulary management, high costs medications, antibiotic utilization, outpatient infusion services and medication use analytics.  The Clinical Pharmacist will acts as an advisor, educator and consultant to the physician network and clinical field teams regarding clinical pharmacy programs and optimal pharmaceutical care. The Clinical Pharmacist participates in strategic planning and goal setting for the network.

Job Duties:

  • As part of a collaborative healthcare team, designs recommends, implements, monitors, and evaluates patient pharmacotherapy at a network level
  • Assesses and monitors patient pharmacotherapy on an on-going basis, with the goal of ensuring appropriate, safe, effective medication therapy
  • Works with clinical field teams and physician network to establish clinical pathways, protocols and order sets.  Documents variance from these guidelines and communicates appropriately
  • Participates in network quality improvement initiatives
  • Creates reports from various technology tools to assure appropriate care, most clinically and cost effective care, and compliance to network and local chapter policies and procedures, i.e., clinical pathways
  • Participates in Quality Committee meetings
  • Meet with physicians and physician groups to educate and discuss pharmacy opportunity

 

Job Qualifications:

  • Louisiana licensed pharmacist  
  • Bachelor of Science degree in pharmacy from a college accredited by the American Council on Pharmaceutical Education (ACPE)  
  • Advanced degree, Pharm D, PhD preferred
  • Minimum of two years post graduate clinical pharmacist experience in institutional pharmacy; preferably 5 or more years of progressive clinical experience.
  • Demonstrate excellent verbal and written communication skills.  
  • Strong computer and software skills required
  • Demonstrated skills in teaching, communication, problem-solving, and project management required
  • Process improvement training a plus
  • Travel required.

Apply for This Position | Download Application Form

To apply by email, send a message to kamilligan@gsqn.org

 


Director of Operations

 

Job Summary

 

This position works with the President and leadership to plan, develop, implement, and operate physician-driven activities and hospital programs within the network that serve to align doctors in a way that drives improvements clinical quality and efficiency, and result in more hospital effective, value-based relationships with payors.  These activities involve: establishing effective network-model physician relationships that are inclusive of both independent and employed physicians; developing inpatient and ambulatory programs, in collaboration with willing physicians that drive improved quality and cost-effectiveness; securing infrastructure (both systems and personnel) that can effectively monitor and change physician performance; and engaging payors in innovative arrangements that reward better, more efficient care.  This position will coordinate and mange each of the regional and local chapter members to assure success with our movement to a statewide network.

 

In assisting the president, the incumbent participates in strategic planning processes to establish and attain the goals of the organization. The incumbent is responsible to ensure that all policies, procedures and outcomes of assigned areas ensure quality patient care, effective delivery of patient care services, effective medical staff relations, fiscal responsibility, and excellent people and service skills.

 

Reporting Relationship:

 

Reports directly to and supports the President.

 

Job Requirements:

 

  • Requires a Bachelor’s degree in Health Administration; Business Administration or related area.
  • Requires demonstrated project management skills.
  • Requires knowledge and experience in finance; strategic planning and community relations.
  • Requires interpersonal, negotiation and presentation skills; with the ability to lead groups and programs.
  • Requires a visionary with the ability to think in a positive and creative manner.
  • Requires well developed administrative and management skills.
  • Requires knowledge of state and national regulatory agency guidelines.
  • Requires knowledge of state and federal laws relative to assigned area.
  • Requires effective written and verbal communication skills.
  • Requires problem-solving and analytical skills.
  • Requires 5 years of health care industry experience

 

Essential Functions:

 

Operations and Administration:

 

This position will provide leadership in the initial design of the various models that support the goals described above. On an ongoing basis, this position provides support in both strategic and operational planning of the services and operations of these various models. Ensures that departments within assigned areas (both direct and matrix reporting relationships) produce the necessary outcomes to support patient services as required by the level of acuity and patient mix. Leads the development of recommendations and practices that impact both health system operations and corporate services and is accountable for operational outcomes including clinical, service and fiscal resources.  In concert with the President, executive management team, and physician leadership, establishes strategic, financial and operational goals and policies of the organization.  

 

Continuous Improvement:

Ensures the quality of services through the development and documentation of quality monitoring system and/or program evaluation reflected through key technology indicators.

 

Communications:

Ensures services are coordinated with other department services and corporate plans such that existing health system technology, personnel, and other resources are optimized in the development of the programs described above. As part of the overall corporate strategy, the incumbent is responsible for maintaining an internal communication system that includes medical staff and other departments to ensure total quality patient care. Interacts with all areas of the organization and has direct impact on decisions that affect all departments and represents the organization in an executive capacity to external contracts. Provides ongoing system of communication for all employees throughout the organization.  Communicates network configuration and related data to network payors.

 

Responsibilities and Accountabilities:

In collaboration with the President and Director of Quality, assists in the development and continual modification of the GSQN’s operating plan to support the realization of the established vision, goals and objectives.

 

Identifies resource requirements (financial, capital and human resources), both short-term and long-term, to carry out the operating plan in the manner consistent with achieving the organization’s vision, goals and objectives.

 

Chapter Development:

Oversees, tracks key performance indicators and helps manage chapter operations throughout the organization to assure development stays on schedule and is compliant to Clinically Integrated guidelines; identifies shared resource requirements and communicates requirements and resource gaps to the GSQN; communicates the vision, goals and objectives to GSQN shared resources for the purpose of identifying required activities to be performed to meet the established goals; supports the President in the presentation of the annual operation budget and budget updates to the Board of Managers for their approval; assists in developing departmental and consolidated annual operational plans; Oversees GSQN operations including, but not limited to: GSQN quality assurance and improvement; Participating Member performance evaluation, reporting, and remediation; GSQN marketing material development and distribution; GSQN communication plan development and implementation; oversees and actively contributes to the development of a business case/value proposition to be communicated to external stakeholders for the purpose of ensuring that the organization’s vision, goals and objectives are achieved.

 

Develops and modifies policies that ensure that the GSQN mission and values are represented in all actions and activities of GSQN staff; assists the GSQN committee chairs in all aspects of preparation and the conducting of committee meetings.

 

Financial Management:

Participates in the development of annual operating and capital plans and budgets that support patient service requirements and contributes to the fiscal health of the organization.

 

Service Management:

Ensures the operations, systems, and services related to the arrangements described above are organized and delivered in a manner that optimizes service satisfaction of patients and families.

 

Leadership:

Ensures that an annual operating plan, inclusive of objectives and resource allocations, is completed in accordance with the planning cycle. Provides leadership and direction for the directors and managers. Makes recommendations that impact corporate philosophy and policies. Provides leadership in the planning of strategies in effective and efficient utilization of personnel, financial, medical, clinical and administrative resources and in program and service line development.

 

Accreditation and Compliance:

Establishes and supports programs to address accreditation needs, and is accountable for ensuring appropriate Federal, State and Local regulatory agencies’ requirements are met.

 

 

Apply for This Position | Download Application Form
To apply by email, send a message to kamilligan@gsqn.org


Medical Office Assistant

Department: Quality
Reports to: Population Health Nurse / Care Coordinator

 

Job Summary:

The Medical Office Assistant (MOA) will support the Gulf South Quality Network, L.L.C. (GSQN) clinical integration network by assessing and managing information from multiple data sources such as census reports, emergency department utilization, and gaps in care reports. The MOA will work in multiple databases to manage patient population, prioritize outreach and offer clerical support to the Care Coordinators.
Job Duties:

  • Telephonic member outreach to ensure patient follow-up with PCP and complete treatment plan
  • Promote “Care in the Right Setting”
  • Maintain records of case management activities
  • Refer members to Population Health Nurse, as needed
  • Assist Population Health Nurse and Quality Analyst in quality initiatives

 

Job Qualifications:

  • Experience working in a medical office
  • Certified as a medical assistant
  • Strong communication, organizational, and administrative skills
  • Strong computer and software skills required
  • Self-starter, goal directed with ability to work independently and stay focused without on-site supervision
  • Ability to communicate effectively with agency staff, upper management and other members of the health care team
  • Ability to prioritize workload

Job Type: Full-time

Job Location:

  • Metairie, LA

Required education:

  • High school or equivalent

 

Apply for This Position | Download Application Form
To apply by email, send a message to kamilligan@gsqn.org

 

 


Population Health Nurse RN

Department: Clinical Operations

Reports to: Director of Clinical Operations

Status: Exempt

Job Summary:

The Population Health Nurse (PHN) will Support the Gulf South Quality Network, L.L.C. (GSQN) clinical integration network by providing network development expertise as a facilitator, change agent, leader and researcher. As an integral member of the healthcare team, the PHN works to ensure the safety, best practices, and high quality standards of care are maintained across the Network. The PHN will be responsible for the oversight and collaboration with members of the quality team to develop process improvement initiatives and monitor the implementation across the Network. The focus is on improving patient experience and outcomes centered on evidence-based, data analytics driven activities/registries/reports for the defined patient population. The PHN will serve as point of reference and communication hub throughout the Network. The PHN will work primarily in the ambulatory setting, working with physician practices; cultivating a relationship with physician staff and will serve as an extension of that office staff. The PHN will be a patient advocate for members associated with GSQN’s quality programs.

 

Job Duties:

  • Designing, enhancing and evaluating process improvement programs in conjunction with Regional Network staff to facilitate process improvement that promotes improved quality of care across the Network
  • Coordinating process improvement plans in alignment with Network initiatives while fostering a positive environment of change
  • Evaluating process improvement programs to determine effectiveness
  • Report findings of process improvement programs
  • Serve as patient advocate / navigator for healthcare
  • Work one on one with physician practices to manage GSQN populations

Job Qualifications:

  • Experience in HEDIS, PQRS and health plan quality metrics
  • A minimum of five years of experience as a registered nurse
  • EMR experience
  • Strong ability to communicate effectively with agency staff, upper management and other members of the health care team
  • Strong Word and Excel skills
  • Knowledge of effective applications of quality resources, clinical guidelines, and process management initiatives
  • Knowledge of clinical quality outcomes, management concepts and methodologies
  • Self-starter, goal directed with ability to work independently and stay focused without on-site supervision
  • One or more years of experience in ambulatory care or community health nursing
  • Demonstrated skills in teaching, communication, problem-solving, and project management required
  • Process improvement training a plus
  • Travel required

Apply for This Position | Download Application Form
To apply by email, send a message to kamilligan@gsqn.org