Chief of Pediatrics - UHC Solutions

First Name

Last Name

Current Location (City, State)

Zip Code

Phone

Languages Spoken (other than English)

What actions have you taken to find a new career?

Not actively pursuing a career change.
None. Beginning my career search.
Submitted a resume to companies.
Interviewed in the past 6 months.
Contacted other recruiters in the past 6 months.
Currently engaged in an interview process.

Current or Most Recent Title

Are you willing to relocate? If yes, please specify: “All States”; “ or ”;“California”; “Northern CA”; “Central CA”; and/or “Southern CA”

Are Student Loan Repayment Benefits important to you?

Yes
No

Based on our conversation, what is a reasonable base salary compensation for your next position?

What current certifications/licensure do you hold?

What associations are you a member of?

How many providers do you oversee? How many direct reports?

What is your operational budget? How many clinical sites are you responsible for?

What is your clinical to administration ration today? What would you like it to be?

How many years have you been practicing medicine? How many years have you been in a clinical leadership role?

What HIT/HIS software/systems are you familiar with? On a scale of 1-10, how would you rate your overall IT skills and why?

How have you expanded medical services to your community?

Describe your involvement in community health care advocacy at the local, state, and national level.

Explain your experience in working with the underserved patient census (medicare, Medicaid, and uninsured).

Please provide an example of a time where you used collaborative leadership to improve your clinics/departments.

Looking back at your career, what do you feel are your most significant accomplishments?

What are your most significant reasons for wanting to make a change?

Why did you leave your last two positions?

Are you referenceable with these organizaions?

Yes
No

If "No", please explain.

Is there anything in your personal or professional background that would surface in a formal background check?

No
Yes

If "Yes", please explain.

Is there anything in your personal or professional life that would prevent you from interviewing, resigning, accepting and starting a new position in the next 120 days?

No
Yes

If "Yes", please explain.

Please list any blackout dates/times that you are NOT available to interview.

Are you currently eligible to work without restrictions in the United States?

Yes
No

If "No", what type of visa support do you require?

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