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Chief Medical Officer
AltaisChief Medical Officer overseeing healthcare operations and physician engagement at Altais. Leading clinical management and strategic initiatives to enhance patient care and collaboration.
About the role
Key responsibilities & impact- Act as the primary medical leader responsible for interfacing with health plans regarding benefits, coverage issues, appeals, and administrative matters
- Attend HMO hearings on appeals and provide clinical expertise in resolving escalated medical and administrative issues
- Provide clinical leadership and guidance to Primary Care Physicians (PCPs), specialists, and other providers across the AHS network
- Chair the Credentialing Committee, ensuring all network providers meet the required qualifications
- Lead and provide oversight of the Utilization Management Committee (UMC)
- Oversee Quality and HEDIS programs, ensuring compliance with performance standards
Requirements
What you’ll need- Doctor of Medicine degree
- Current Board certification, in Internal Medicine, Family Practice, or Geriatrics
- Active and in good standing MD licensure in the state of California
- A minimum of ten (10) years as a practicing inpatient and outpatient physician in a managed care environment
- 6 years management experience
- Health plan experience in operations
- Experience in a physician group model
Benefits
Comp & perks- Excellent medical, vision, and dental coverage
- 401k savings plan with a company match
- Flexible time off and 9 Paid Holidays
- Eligible to participate in our annual bonus program
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Clinical LeadershipUtilization Management OversightQuality Program OversightHEDIS ComplianceCredentialing Process Management
Soft Skills
Interpersonal CommunicationConflict ResolutionTeam Leadership
Certifications
Active MD Licensure In California