Chief Medical Officer – Regional Operations

Medical DirectorMedical DirectorFull TimeRemoteTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

62 days ago

Salary

$238.3K - $350.6K / year

Postgraduate Degree15 yrs expEnglish

Job Description

• Provides clinical leadership in the development, organization and governance of a clinically integrated network (CIN) of physicians or Population Health Services Organization. • Responsible for directing the improvement of clinical, quality, and financial outcomes for the operating partnerships. • Provides change management expertise in health systems, provider organizations, and physician practices. • Participates in the alignment of physician incentives, quality measures, and value-based contracts. • Maintains strong relationships with Provider PHSO Medical Directors and clinical leaders at partnering organizations. • Directs and monitors medical management activities and quality management programs as needed to maintain compliance with CMS, NCQA and other accrediting bodies. • Collaborates with the Provider Engagement team to move physician offices to accountable care model. • Collaborates with the Corporate Chief Medical Officer (CCMO) on clinical strategy, design and approach, facilitating communications, and managing risk on engagements. • Acts as an internal consultant on clinical program development and special projects for Lumeris customers. • Participates in ongoing product development activities related to Lumeris technologies and services. • Provides timely communications and progress reports regarding Lumeris activities and external client status. • Provides support to the Accountable Delivery Systems Institute as needed on matters relating to accountable care, physician engagement/alignment, payer and clinical transformation, and the use of top technology in support of the new models of care. • Participates in business development meetings with prospective clients to present the Lumeris value proposition. • Supports the Lumeris Advisory Services team in content development and supporting the delivery of V2Vs. • Contributes to the Clinical thought leadership of the organization through presentations, case studies and scientific articles.

Job Requirements

  • MD. or D.O. degree, plus Board Certification
  • Current, unrestricted medical license
  • 15+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role
  • 7+ years of people, program, or project leadership experience or the knowledge, skills, and abilities to succeed in the role
  • 5+ years of successful clinical practice experience
  • 3+ years of health system, health plan or capitated provider experience with exposure to managing total cost of care, quality, and documentation and coding
  • Deep understanding of population health & managed care
  • Strong background in administrative clinical leadership
  • Solid understanding and experience with population health management strategies
  • Knowledge of healthcare financing and the relation to various managed care products (HMO, PPO, Indemnity, and Medicare Advantage)
  • Knowledge of continuous quality improvement theory and practice
  • Excellent communication and problem-solving skills
  • Demonstrated track record of building productive working relationships internally and externally at all levels
  • Proven ability to positively impact results
  • Preferred MBA or Master's Degree in healthcare or other related field
  • Prior operational consulting experience
  • Government sector experience (Medicare or Medicaid products)

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
  • And much more...

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