Pediatrician

Miami, United States

Pediatrician

Department:

Clinical Operations

Reports To:

Chief Medical Officer

FLSA Status:

Exempt

Position Summary:

The Pediatrician provides comprehensive primary care for infants, children, and adolescents within Nuvia Medical’s value‑based care model. The physician is accountable for outcomes across a defined patient panel under a per‑member‑per‑month (PMPM) arrangement—proactively managing preventive care, chronic conditions, and utilization to improve quality and reduce avoidable emergency department visits and hospitalizations. Care is delivered in collaboration with care coordination staff and the Quality Assurance team, as well as other Nuvia Medical stakeholders, to close gaps in care, meet HEDIS and Continuity‑of‑Care (COC) measures, and support optimal patient and family experience. The majority of patients are Medicaid members (with smaller Medicare and fee‑for‑service populations), and this role requires a commitment to serving underserved communities with culturally competent, family‑centered care.

Essential Duties and Responsibilities:

Provide full‑spectrum outpatient pediatric care, including well‑child care, immunizations, acute illness management, and chronic disease management (e.g., asthma, diabetes, obesity).
Conduct age‑appropriate screenings and assessments (e.g., development, behavioral/mental health, vision/hearing, BMI counseling) with timely follow‑up.
Manage a defined pediatric patient panel in a PMPM/value‑based environment, with accountability for quality, utilization, and patient/family satisfaction outcomes.
Identify, monitor, and close pediatric gaps in care by collaborating with care coordination staff and the Quality Assurance team.
Ensure compliance with relevant HEDIS pediatric measures and payer quality programs (e.g., well‑child visits, immunization status, appropriate testing and medication use).
Promote appropriate resource utilization to minimize avoidable ED use and inpatient admissions/readmissions through early intervention and care navigation.
Develop individualized care plans for medically complex or high‑risk pediatric patients, coordinating with specialists, schools, and community resources as needed.
Participate in population health initiatives to improve preventive screening rates, medication adherence, and chronic condition control across the pediatric panel.
Review clinical dashboards and quality reports; implement targeted interventions to improve outcomes and support medical loss ratio (MLR) and shared‑savings goals.
Educate and engage patients and families through anticipatory guidance, shared decision‑making, and clear follow‑up plans.
Document all encounters accurately and promptly in the electronic health record (EHR) in accordance with organizational and regulatory standards.
Maintain current knowledge of pediatric clinical guidelines, immunization schedules, and evidence‑based practices in value‑based care.
Contribute to interdisciplinary huddles, case conferences, peer reviews, and continuous quality improvement projects.
Model Nuvia’s culture of excellence, accountability, and compassion in all patient and team interactions.

Required Qualifications:

Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited institution.
Board Certification or Board Eligibility in Pediatrics.
Current, unrestricted license to practice medicine in the State of Florida.
Active DEA registration and prescriptive authority; PALS preferred.
Minimum of two (2) years’ experience in outpatient pediatrics or value‑based primary care preferred.
Proven ability to manage a pediatric patient panel, track performance metrics, and improve outcomes in a population health model.
Knowledge of pediatric HEDIS measures, managed‑care quality programs, and risk‑based payment structures (PMPM).
Experience serving Medicaid and underserved populations strongly preferred; bilingual abilities a plus.
Excellent interpersonal and communication skills with a family‑centered, team‑based approach to care.
Proficiency with electronic medical record (EMR/EHR) systems.

Core Competencies:

Population Health Management: Demonstrates accountability for outcomes across the assigned pediatric panel.
Quality & Compliance: Understands and applies pediatric quality measures (e.g., HEDIS) to meet or exceed targets.
Team Collaboration: Works effectively with care coordination staff and the Quality Assurance team to close care gaps.
Resource Stewardship: Uses sound clinical judgment to reduce unnecessary utilization while maintaining high standards of care.
Family Engagement & Communication: Builds trust with children and caregivers; provides clear guidance and anticipatory counseling.

Core Values and Behaviors:

Integrity – Acts ethically, honestly, and consistently in all interactions with patients, families, and colleagues.
Compassion – Demonstrates empathy and kindness while respecting the dignity and individuality of each child and family.
Accountability – Takes ownership of clinical decisions, outcomes, and performance metrics.
Respect – Values diverse perspectives and promotes an inclusive, culturally sensitive environment.
Excellence – Strives for superior clinical and operational performance in alignment with Nuvia’s value‑based mission.

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