Job Description

JOB SUMMARY:

The Chief Medical Officer (CMO) has accountability for the clinical strategy for Medical Affairs, Quality, and Medical Management all while building sustainable programs that promote innovative ways to achieve improved outcomes for our members. These responsibilities include care management oversight, quality/STAR rating improvements, appropriate utilization, health system transformation and implementation of medical programs/policies, enhancing relationships with providers and facilities, industry policy advocacy, and regulatory agencies. The CMO for Community Health Choice will be responsible for driving excellent results for all clinical affordability, quality, population health, growth, Net Promoter Score, and external relationship initiatives. Additional plan medical directors, pharmacy, quality, and others report to this position. The Chief Medical Officer reports to Community's CEO.

QUALIFICATIONS:

Education/Specialized Training/Licensure: MD Degree or DO and Licensure in the State of Texas, Completion of Residency and Board Certification in Family Medicine, Internal Medicine, Pediatrics or OB/GYN with preference for the Primary Care Specialties. Work Experience (Years and Area): Twelve years clinical experience with 5 years of administrative experience in Managed Care, including management of other physicians and/or clinical staff; master's degree in public health, Business Administration or Medical Administration preferred. Management Experience (Years and Area): 5 years of administrative experience in Health plan management, including management of other physicians and/or clinical staff.

SPECIAL REQUIREMENTS:

Communication Skills: Above Average Verbal (Heavy Public Contact) Exceptional Verbal (e.g., Public Speaking) Writing /Composing: Correspondence/ Reports. Other Skills: Analytical, Medical Terminology, Statistical. Advanced Education: Master's Degree: Public Health, Business Administration or Medical Administration preferred. Doctorate Major: MD or DO. Work Schedule: Flexible. Other Requirements: Previous Medicaid Managed Care experience working with state regulators and executing on strategic initiatives and programs preferred. Strong leadership experience, strategic vision and a proven ability to execute on clinical initiatives are a "must have" in this position.

RESPONSIBLE TO: CEO

EMPLOYEE SUPERVISED: VP Medical Affairs / Operations; Pharmacy, Quality, other Program Directors and Clerical staff #J-18808-Ljbffr Academy of Managed Care Pharmacy

Job Tags

Work experience placement, Flexible hours,

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