Responsibilities

• As a Market CMO you will plan, organize, manage and supervise health care services offered in the medical centers. Work in conjunction with the Center Medical Directors to motivate and provide medical direction in pursuit of cost effective, quality healthcare.
• Plan, organize, manage and supervise the roles of the Center Medical Directors.
• Identify physician recruitment needs and collaborate in the hiring and contracting of providers.
• Establish work schedules and assignments for medical staff according to workload, space and equipment and center needs.
• Oversee daily operations of physician services.
• Build strong relationship with specialist, hospitalist, SNF and other providers to form a narrow network of quality service focused on senior population health
• Responsible for medical interpretation, reviews, and decisions as required for plan administration.
• Monitor medical performance and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective utilization practices.
• Oversee the development, revision, and implementation of policies and procedures, systems, programs and standards for health care services.
• Represent the organization in community and marketing events.
• Develop and maintain compliance with the departmental and physician budgets.
• Assess, develop and recommend strategies for compliance with regulatory requirements.
• Develop and maintain an effective relationship with all departments providing medical guidance and expertise.
• Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and cost expectation of.
• Identify trends of over- and under-utilization and implement actions plans to improve.
• Direct and orient physicians in the correct application of approved guidelines. .
• Oversee the operations of the wellness activities and medical department.
• Guide and enforce Perfect Service Standards (Customer Service).
• Other duties as requested

Required Qualifications

• • Doctor of Medicine or Osteopathic Medicine
  • Board Eligible or Board certified in Geriatric Medicine, Family Medicine or Internal Medicine
  • American Board of Physician Specialties (ABPS) is also recognized by our organization
  • Valid, unrestricted license in the state of desired employment
  • Experience leading clinical practice operations
  • Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients
  • Willingness and ability to learn/adapt to practice in a value-based care setting
  • Basic computer skills, including email and EMR
  • This role is considered patient facing and is part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Active and unrestricted DEA license
• Medicare Provider Number
• Medicaid Provider Number
• Minimum of three to five years directly applicable experience preferred
• Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment.
• Knowledge of Medicare guidelines and coverage.
• Knowledge of HEDIS quality indicators
• Good understanding of best practice coding and documentation in value based environment
• Leveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results.
• Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.
• Accountable: You meet clearly stated expectations and take responsibility for achieving results.
• Clinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care. Understands the medical utilization implications of such programs
• Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.

Additional Information

• Guaranteed base salary + bonus
• Excellent benefit package – health insurance effective on your first day of employment
• CME Allowance/Time
• Occurrence Malpractice Insurance
• Relocation and sign-on bonus options (Only Keep as Needed)
• 401(k) with Employer Match
• Life Insurance/Disability
• Paid Time Off/Holidays
• Minimal call

Scheduled Weekly Hours