| Location | Fresno, CA |
Medical Director II – PACE / Geriatric Medicine
Position Overview
Seeking an experienced Medical Director II to oversee clinical operations, medical services, and quality improvement initiatives within a Program of All-Inclusive Care for the Elderly (PACE).
This leadership position focuses on providing comprehensive, community-based healthcare services to vulnerable seniors while supporting their ability to remain independent and continue living in their homes and communities.
Reporting to the Chief Medical Officer, the Medical Director II will provide clinical leadership to an interdisciplinary team (IDT), oversee medical care delivery, supervise physicians and advanced practice providers, and ensure compliance with PACE regulations and established clinical standards.
The Medical Director II will also be responsible for developing, maintaining, and overseeing the Quality Improvement (QI) program, medical policies, procedures, standards, and protocols.
Compensation: 210K-290K USD with the possibility of sign on bonus.
Assignment Details
Provider Type: Physician (MD/DO)
Position Title: Medical Director II
Specialty: Internal Medicine / Family Medicine / Emergency Medicine / Geriatric Medicine
Practice Setting: Community-Based Primary Care / PACE Program
Position Type: Full-Time
Leadership Role: Medical Director / Clinical Operations Oversight
Patient Population: Seniors / Geriatric Patients
Care Model: Value-Based / Interdisciplinary Primary Care
Reports To: Chief Medical Officer
Schedule
Workdays: Monday–Friday
Shift Hours: 8:00 AM–5:00 PM
Home Visits: Included
On-Call Schedule: Rotating Night and Weekend Call
Call Frequency: A Few Nights or Weekends Per Month
Additional Responsibilities: Develop and Implement Clinic Staffing and 24-Hour On-Call Schedules
Patient Population
Older Adult and Geriatric Patients
Medically Vulnerable Seniors
Medicare and Medi-Cal Participants
Patients With Complex Medical Conditions
Patients Requiring Chronic Disease Management
Patients Receiving Coordinated Long-Term Care
Individuals Requiring Community-Based Medical and Supportive Services
Clinical Leadership Responsibilities
Assume Overall Accountability for Medical Care Provided to Program Participants
Oversee the Medical Services Team to Promote Quality and Clinical Outcome Goals
Provide Clinical Leadership and Direction to the Interdisciplinary Healthcare Team
Supervise PACE Physicians, Nurse Practitioners, Community-Based Physicians, and Other Medical Staff
Oversee Medical Contractors and Ensure Compliance With Clinical Standards
Monitor Clinical Performance and Promote High-Quality Patient Care
Support the Development of Innovative Care Pathways for Patients With Complex Medical Conditions
Ensure Integration of Medical Services With Other Patient Care Services
Participate in Executive Management Planning, Budgeting, and Operational Oversight
Develop and Implement Medical Policies, Procedures, Standards, and Protocols
Ensure Compliance With Applicable PACE Regulations and Clinical
Requirements
Mentor and Develop Clinical Team Members
Quality Improvement Responsibilities
Develop, Maintain, and Oversee the Quality Improvement (QI) Program
Establish and Monitor Clinical Quality and Outcome Goals
Evaluate Healthcare Utilization and Clinical Performance Measures
Identify Opportunities to Improve Patient Outcomes and Quality of Life
Monitor Hospital Inpatient Utilization
Review Emergency Department Utilization
Evaluate Nursing Facility Utilization
Monitor Pharmaceutical Utilization and Medication Management
Review Specialist Referral Patterns
Develop Strategies to Improve Healthcare Efficiency and Value
Ensure Adherence to Established Quality Improvement Requirements
Promote Continuous Improvement in Clinical Care Delivery
Clinical Operations Responsibilities
Monitor and Lead Clinic Operations
Ensure Effective Integration of Medical Services With Other Healthcare Programs
Oversee Community-Based Physicians and Clinical Providers
Develop and Implement Clinic Staffing Plans
Establish and Maintain 24-Hour On-Call Coverage Schedules
Coordinate Medical Service Delivery Across the Interdisciplinary Team
Ensure Compliance With Medical Policies and Procedures
Participate in Operational Planning and Budgeting
Support Efficient Utilization of Healthcare Resources
Promote Consistent Clinical Standards Across Medical Services
Required Clinical Skills
Medical Leadership and Clinical Supervision
Primary Care Medicine
Geriatric Patient Management
Chronic Disease Management
Interdisciplinary Team Leadership
Quality Improvement Program Management
Clinical Operations Oversight
Medical Policy and Procedure Development
Healthcare Utilization Management
Clinical Performance Monitoring
Care Pathway Development
Physician and Advanced Practice Provider Supervision
Staff Mentoring and Professional Development
Healthcare Resource Management
Value-Based Healthcare Delivery
PACE Regulatory Compliance
Clinical Practice Details
Program of All-Inclusive Care for the Elderly (PACE)
Community-Based Primary Care
Value-Based Healthcare Model
Interdisciplinary Team Approach
Comprehensive Geriatric Care
Medical Director Leadership Responsibilities
Physician and Advanced Practice Provider Supervision
Quality Improvement Program Oversight
Clinical Operations and Staffing Management
Home Visits Included
Rotating Night and Weekend Call
24-Hour On-Call Scheduling Oversight
Clinical Environment / Support
Chief Medical Officer Oversight
Executive Management Team
Interdisciplinary Healthcare Team
PACE Physicians
Community-Based Physicians
Nurse Practitioners
Other Medical Staff and Contractors
Community-Based Senior Care Services
Coordinated Medical and Supportive Care Programs
Quality Improvement and Clinical Operations Support
Requirements
Successful Completion of an ACGME-Accredited Residency Program – Required
Board Certification in Internal Medicine, Family Medicine, or Emergency Medicine – Required
Geriatric Medicine Training or Specialization – Preferred
At Least 2 Years of Clinical Experience in the Specialty – Required
At Least 2 Years of Supervisory Experience – Required
Demonstrated Ability to Mentor and Develop Clinical Team Members – Required
Active, Unrestricted State Physician License – Required
State Controlled Dangerous Substances (CDS) Certification – Required
DEA Registration – Required
Current Enrollment or Eligibility for Enrollment to Provide Services to Medicare and Medi-Cal Participants – Required
Current Knowledge of Chronic Care Management and Geriatric Healthcare Best Practices – Preferred
Experience Supervising Physicians and Advanced Practice Providers
Experience Managing Clinical Operations and Healthcare Services
Knowledge of Quality Improvement Programs and Clinical Performance Measures
Ability to Develop and Implement Medical Policies and Procedures
Ability to Oversee Clinical Staffing and On-Call Scheduling
Willingness and Ability to Participate in Rotating Night and Weekend Call – Required
CPR Certification Within 180 Days of Hire – Required
First Aid Certification Within 180 Days of Hire – Required
CPR and First Aid Certification at Hire – Preferred
Ability to Maintain CPR and First Aid Certifications
Strong Leadership, Communication, and Interdisciplinary Collaboration Skills
Credentialing Requirements
ACGME-Accredited Residency Training
Board Certification in Internal Medicine, Family Medicine, or Emergency Medicine
Active, Unrestricted State Physician License
State CDS Certification
DEA Registration
Medicare and Medi-Cal Provider Enrollment or Eligibility
Minimum 2 Years of Clinical Experience in the Specialty
Minimum 2 Years of Supervisory Experience
CPR and First Aid Certification Within 180 Days of Hire
Vaccination Requirements
Proof of Vaccination or a Completed Vaccine Declination Form Required Before Employment
Compliance With Applicable Infection Control and Personal Protective Equipment (PPE) Standards
Compliance With Employee Vaccination Policies
Equal Employment Opportunity
The employer is committed to providing an inclusive workplace and equal employment opportunities to qualified applicants without discrimination based on race, color, religion, sex, gender identity, sexual orientation, age, disability, veteran status, national origin, or other characteristics protected by applicable law.