Chief Medical Officer

This is a fully remote position, open to applicants in United States.

📋 Description

• Deliver strategic guidance and clinical expertise to steer policy, programs, and overall healthcare delivery.

• Act as a clinical operations leader and clinical lead for Essence Healthcare.

• Supervise, coach, mentor, inspire, support, and nurture a cross-functional team of experienced leaders.

• Manage and coordinate clinical aspects of the health plan, which includes medical and pharmacy management, utilization review, and evidence-based care initiatives.

• Oversee medical cost management.

• Organize and lead medical director meetings.

• Cultivate relationships with Essence physicians and collaborate with medical groups on provider performance management.

• Align physician incentives with quality measures and value-based contracts.

• Maintain partnerships with ARO Value Based Care Enablement CMOs and clinical teams at affiliated organizations.

• Direct and oversee medical management initiatives and quality management programs to ensure compliance with CMS, NCQA, and other accrediting entities.

• Collaborate with the Corporate Chief Medical Officer on clinical strategy, design, communications, and risk management.

• Serve as an internal consultant for clinical program development and special projects for Lumeris clients.

• Assist the Accountable Delivery Systems Institute on accountable care, physician engagement/alignment, payer and clinical transformation, and technology-enabled care models.

• Contribute to clinical thought leadership through presentations, case studies, and scientific publications.

⛳️ Requirements

• MD or D.O. degree, along with Board Certification.

• Current, unrestricted medical license.

• 15+ years of relevant experience or the knowledge, skills, and abilities necessary to excel in this role.

• 7+ years of experience in people, program, or project leadership or the knowledge, skills, and abilities to thrive in this position.

• Proven track record in a successful clinical practice.

• Extensive experience in Medicare Advantage.

• Demonstrated experience in health systems, health plans, or capitated providers with a focus on managing total cost of care, quality, and documentation and coding.

• Comprehensive understanding of population health and managed care.

• Strong background in administrative clinical leadership.

• Solid experience with population health management strategies.

• Familiarity with healthcare financing and its relation to various managed care products (HMO, PPO, Indemnity, and Medicare Advantage).

• Knowledge of continuous quality improvement theories and practices.

• Excellent communication and problem-solving abilities.

• Proven ability to develop productive working relationships internally and externally at all levels.

• Expert capability to positively influence results.

• Authorized to work in the United States; visa sponsorship is not available.

🏝️ Benefits

• Medical, Vision, and Dental Plans.

• Tax-Advantage Savings Accounts (FSA & HSA).

• Life Insurance and Disability Insurance.

• Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days).

• Employee Assistance Program.

• 401k with company match.

• Employee Resource Groups.

• Employee Discount Program.

• Learning and Development Opportunities.

• Performance-based incentives and/or equity may apply to eligible roles.