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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.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive clinical leadership and expertise in managed care, with a focus on quality oversight, compliance, and provider credentialing. Proven ability to interface with health plans and lead committees to enhance operational efficiency and patient care.
Highest-signal resume keywords
Doctor Of Medicine DegreeBoard Certification In Internal MedicineBoard Certification In Family PracticeBoard Certification In GeriatricsManaged Care Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical LeadershipUtilization Management OversightQuality Program OversightHEDIS ComplianceCredentialing Process Management
Soft Skills
Interpersonal CommunicationConflict ResolutionTeam Leadership
Certifications & Qualifications
Active MD Licensure In California
Industry Keywords
Health Plan OperationsInpatient Physician ExperienceOutpatient Physician ExperiencePhysician Group Model
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