Market Chief Medical Officer, MD/DO

1 week ago


Charleston, United States AmeriHealth Caritas Full time

Job Brief SC MD or DO license req'd. present in the Charleston, SC office at least 2 days a week with travel to local providers, governmental offices, and the community. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com. The Market Chief Medical Officer (CMO) reports directly to the VP Population Health Medical Services and works closely with the Plan Market President. The position is responsible for overall market clinical and population health strategy and operations oversight, supporting market-based clinical leadership, and enabling execution of all clinical, population health, and quality initiatives to achieve goals within the plan. The Market CMO is accountable for population health management strategy, quality, clinical, and total cost of care initiatives. The Market CMO is clinical executive who is responsible for and interacts with the plan membership, community, provider and health system networks, professional associations, and SC regulatory agencies to advance clinical excellence and the delivery of cost and operationally efficient care. Direct reports of the Market CMO currently include: Behavioral Health Medical Director Behavioral Health Director Foster Care Medical Director The Market CMO role is expected to be present in the Charleston, SC office at least 2 days a week with travel to local providers, governmental offices, and the community. Candidates must possess a current, unrestricted MD or DO license and be board certified to practice medicine in South Carolina. Primary Responsibilities & Accountabilities: Works and collaborates with providers and utilizes data to develop strategic initiatives to guide outcomes. Experience in leadership and oversight of segment leaders and strategic direction of clinical, quality, and population health programs across care management, utilization management, quality, and value based care. Experience in using data analysis to identify opportunities for medical cost trend and quality improvement to positively influence member and total cost of care outcomes. Support development and implementation of medical policy, including maintaining compliance with regulatory guidelines and recommendations for modifications to improve efficiency and effectiveness. Market thought leader for the internal organization, external providers, and regulatory (local, state and federal) and accrediting agencies. Education/Experience: MD or DO. Board certified in area of specialty. An unrestricted license to practice medicine in South Carolina and any other state in which he/she works. 5+ years of practice experience in his/her area of medical specialty. 5+ years of progressive medical leadership and management experience is required, with managed care organization leadership experience as a Medical Director or CMO role preferred. Demonstrated ability to lead clinical, quality, and business leaders in a direct and matrixed environment. Experience working with multiple product lines of business, i.e. Medicaid, Medicare, ACA/Exchange. Experience with quality improvement methodologies (IHI, Lean, Six Sigma), population health management approaches, and medical trend and economics experience. Demonstrated ability to make strategic decisions. Strong analytical and population health skills required. Strong verbal and written communication skills required. Ability to interact effectively and professionally with all levels within the plan and enterprise organizations, providers, other managed care organizations, and the state and regulatory agencies. Able to use and apply technology and analytics to support outcomes. Proficiency utilizing Microsoft Office Suite (Word, Excel, Power Point, and Teams) in a Windows based environment. Diversity, Equity, and Inclusion At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve. We keep our associates happy so they can focus on keeping our members healthy. Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. #PH #HM Back Share Apply Now



  • Charleston, West Virginia, United States AmeriHealth Caritas Full time

    Market Chief Medical OfficerAmeriHealth Caritas is seeking a seasoned professional to serve as the Market Chief Medical Officer. This role is responsible for market-based clinical leadership and execution of all healthcare affordability and clinical quality initiatives to achieve goals.Responsibilities:Reports directly to the Market President and has a...


  • Charleston, South Carolina, United States AmeriHealth Caritas Full time

    Market Chief Medical OfficerAmeriHealth Caritas is seeking a highly skilled and experienced Market Chief Medical Officer to lead our clinical and population health strategy in South Carolina.Key Responsibilities:Develop and implement clinical and population health strategies to improve health outcomes and reduce costs.Collaborate with providers and...


  • Charleston, West Virginia, United States AmeriHealth Caritas Full time

    Market Chief Medical OfficerAmeriHealth Caritas is seeking a highly skilled and experienced Market Chief Medical Officer to lead our clinical and population health strategy in South Carolina.Key Responsibilities:Develop and implement clinical and population health strategies to improve health outcomes and reduce costs.Collaborate with providers and...


  • Charleston, South Carolina, United States AmeriHealth Caritas Full time

    Job OpportunityWe are seeking a highly skilled and experienced Market Chief Medical Officer to join our team at AmeriHealth Caritas.About the RoleThe Market Chief Medical Officer will be responsible for developing and implementing clinical and population health strategies to improve health outcomes and reduce costs. This role will work closely with our...


  • Charleston, West Virginia, United States AmeriHealth Caritas Full time

    Market Chief Medical OfficerWe are seeking a highly skilled and experienced Market Chief Medical Officer to join our team at AmeriHealth Caritas. As a key member of our leadership team, you will be responsible for developing and implementing clinical and population health strategies to drive quality and cost-effective care for our members.Key...


  • Charleston, South Carolina, United States AmeriHealth Caritas Full time

    Job Title: Market Chief Medical OfficerWe are seeking a highly skilled and experienced Market Chief Medical Officer to join our team at AmeriHealth Caritas. As a key member of our leadership team, you will be responsible for developing and implementing clinical and population health strategies to drive quality and cost-effective care for our members.Key...


  • Charleston, West Virginia, United States AmeriHealth Caritas Full time

    Job Title: Market Chief Medical OfficerWe are seeking a highly skilled and experienced Market Chief Medical Officer to join our team at AmeriHealth Caritas. As a key member of our leadership team, you will be responsible for developing and implementing clinical and population health strategies to drive quality and cost-effective care for our members.Key...


  • Charleston, United States AmeriHealth Caritas Full time

    Job Brief SC MD or DO license req'd. present in the Charleston, SC office at least 2 days a week with travel to local providers, governmental offices, and the community.  Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and...


  • Charleston, United States AmeriHealth Caritas Full time

    Job Brief SC MD or DO license req'd. present in the Charleston, SC office at least 2 days a week with travel to local providers, governmental offices, and the community. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy...


  • Charleston, United States AmeriHealth Caritas Full time

    Job Brief SC MD or DO license req'd. present in the Charleston, SC office at least 2 days a week with travel to local providers, governmental offices, and the community. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy...


  • Charleston, United States AmeriHealth Caritas Full time

    Job Brief SC MD or DO license req'd. present in the Charleston, SC office at least 2 days a week with travel to local providers, governmental offices, and the community.  Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and...


  • Charleston, United States AmeriHealth Caritas Full time

    Job Brief SC MD or DO license req'd. present in the Charleston, SC office at least 2 days a week with travel to local providers, governmental offices, and the community.  Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and...


  • Charleston, United States AmeriHealth Caritas Full time

    Job Brief MD or DO license req'd in SC. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact...


  • Charleston, United States AmeriHealth Caritas Full time

    Job Brief MD or DO license req'd in SC. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact...


  • Charleston, South Carolina, United States AmeriHealth Caritas Full time

    Job Title: Market Chief Medical Officer, South CarolinaAmeriHealth Caritas is seeking a highly skilled and experienced Market Chief Medical Officer to lead our clinical and population health strategy in South Carolina.Key Responsibilities:Develop and implement clinical and population health strategies to improve health outcomes and reduce costs.Collaborate...


  • Charleston, United States AmeriHealth Caritas Full time

    Job DescriptionJob BriefSC MD or DO license req'd. present in the Charleston, SC office at least 2 days a week with travel to local providers, governmental offices, and the community. Your career starts now. We are looking for the next generation of health care leaders.At AmeriHealth Caritas, we are passionate about helping people get care, stay well...


  • Charleston, South Carolina, United States AmeriHealth Caritas Full time

    About the RoleWe are seeking a highly skilled and experienced Market Chief Medical Officer to join our team at AmeriHealth Caritas. As a key member of our leadership team, you will be responsible for developing and implementing clinical and population health strategies to drive quality and cost-effective care for our members.Key ResponsibilitiesDevelop and...


  • Charleston, United States AmeriHealth Caritas Full time

    Job Opportunity AmeriHealth Caritas is seeking a highly skilled and experienced Market Chief Medical Officer to join our team. As a key member of our leadership team, you will be responsible for developing and implementing clinical and population health strategies to drive quality and cost-effective care for our members. The ideal candidate will have a...


  • Charleston, West Virginia, United States AmeriHealth Caritas Full time

    Job Title: Market Chief Medical Officer, South CarolinaWe are seeking a highly skilled and experienced Market Chief Medical Officer to join our team at AmeriHealth Caritas. As a key member of our leadership team, you will be responsible for developing and implementing clinical and population health strategies to drive quality and cost-effective care for our...


  • Charleston, West Virginia, United States AmeriHealth Administrators Full time

    About the RoleWe are seeking a seasoned professional to serve as the Market Chief Medical Officer for our South Carolina region. As a key member of our leadership team, you will be responsible for driving clinical excellence and delivering cost-efficient care to our members.ResponsibilitiesLead market-based clinical leadership and execution of health care...