Chief Medical Officer – Group Medicare
CenterWell Senior Primary Care
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $327,700 - $450,600 per year
Job Level
Lead
About the role
- The Chief Medical Officer (CMO), Group Medicare provides national medical leadership and strategic vision and direction for the Group Medicare business.
- Key responsibilities include: Executive oversight of the planning, staffing and budgeting related to various Group MA clinical teams
- clinical trend, analysis, stars and overseeing and managing all Enterprise-wide clinical changes, trends and methods that impact Group Medicare.
- The CMO is responsible for the stars outcomes for Group MA and making highly visible decisions.
- Developing Group specific Stars quality improvement programs to ensure Group Medicare members close gaps in care for HEDIS and Patient Safety and have results trending to 4 or 5 stars.
- Collaborating with corporate and regional teams to implement targeted interventions that promote equitable access to preventive, chronic, and acute care services.
- Owns and is responsible for trend mitigation strategies for Group Medicare and outcomes ranging between $50-$150M annually on National and regional scopes.
- Leading a complex Risk Adjustment strategy to optimize accurate diagnosis capture through comprehensive clinical documentation and coding practices, ensuring Group Medicare members are included and participating for optimal results.
- Requires operational change management and influence and overall ownership for Group Medicare.
Requirements
- A current and unrestricted medical Physician (MD/DO) license in at least one jurisdiction.
- Demonstrates exceptional communication and presentation skills, effectively translating complex clinical initiatives into clear, actionable messages.
- Adept at engaging in peer-to-peer discussions with Group client CMOs, as well as presenting sophisticated topics in accessible, layperson terms to external business leaders.
- 10+ years of established clinical experience.
- Knowledge of the managed care industry including Group Medicare, Medicare, Medicaid and/or Commercial products.
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
- Ability to travel nationally 30% of the time.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical documentationcoding practicesclinical trend analysisquality improvement programsrisk adjustment strategybudgetingstaffingoperational change managementHEDISpatient safety
Soft skills
communication skillspresentation skillscollaborationinfluenceengagementstrategic visionleadershipproblem-solvingadaptabilitypassion for improvement
Certifications
MD licenseDO license