[正社員]医療事務 英語を活かす Near Patient Physician Lead

Overall Purpose Of The Job This position serves as the TRICARE Near Patient Physician Lead for a specific country in which there may be multiple Near Patient Physicians and Nurses. This position is responsible for and provides clear medical leadership for the Near Patient efforts within the country to include both TRICARE Prime and Prime Remote beneficiaries. The program provides end-to-end care experience facilitation for TRICARE beneficiaries as they journey through purchased care sector provider care in selected regions outside the United States. The Near Patient Physician Lead serves as the liaison between the local Near Patient Medical Teams, the MTF (Military Treatment Facility) leadership, and the PCSPs (Purchased Care Sector Providers). In this role, the Near Patient Physician Lead will promote productive dialogue between all listed parties to ensure the success of the Near Patient program. This includes: • Training other Near Patient Physicians and their subordinates about International SOS, the US Military health care system, and the TRICARE Overseas Program (TOP). • Promoting and facilitating the education of PCSPs regarding International SOS, the US Military health care system, and the TOP. • Promoting and facilitating the education of MTF leadership regarding International SOS, TOP, and the Near Patient Program objectives. • Qualified and experienced medical practitioner who understands nuances of host nation medical care and understands US beneficiary expectations of care. • Establish and maintain effective and strong relationships with PCSPs. • Establish and maintain effective and strong relationships with medical leadership at MTFs • Build effective relationships with the Near Patient Nurse Lead, other Near Patient Team Nurses, and physicians, Near Patient Program Operational Staff, Regional Medical Director, and TOP Leadership Key Requirements include: • Provide functional oversight of all NPT activities • Provide direction and guidance to the NPT for escalated Inpatient Medical Management (IMM) cases that include when required reviewing Interim Discharge Summaries • Creating a centralized on-call duty roster for Near Patient Physicians in Japan and S. Korea to include participating in on-call duties • Monitor and manage Near Patient Medical Team caseloads using the TRICARE CRM management tools • Travel to MTFs and PCSPs as required to build and foster relationships • Support when required routine MTF meeting/event attendance, regular contact with MTF personnel to discuss medical cases, and meet with MTF medical leadership in accordance with the Statement of Responsibility • Support provider visits and inspections • Ability to work proficiently with TRICARE CRM system and provide SOAPe updates within the contractual/internal KPI’s • Ability to manage effectively service delivery issues with MTF’s and PCSP • Escalate as required to Near Patient Regional Medical Director to discuss/highlight case complexities/challenges • Ensure that Near Patient Medical Teams support Quality Assurance initiatives and case specific potential quality incident investigations and events. This will include compliments and complaints plus service recoveries • Conduct annual appraisals and when required manage performance improvement plans of Near Patient Team members • Near Patient Physician Lead location will be an individual decision based on service activities and key Near Patient locations • English language proficiency (written and oral)