Deputy Chief Medical Officer

2 days ago

WinstonSalem, United States Elevance Health Full time

Please note: The successful candidate will be a licensed and domiciled psychiatrist in the state of North Carolina and hold a Child & Adolescent Board Certification. This is a hybrid role where the new hire may get asked to work in either our Cary, NC or Winston-Salem, NC office 1-2x a week. Deputy Chief Medical Officer – Psychiatrist – North Carolina oversees and is responsible for the delivery of medical services provided to children, youth and families served by the child welfare system as assigned by the Chief Medical Officer including but not limited to the proper provision of covered services to Members, developing clinical practice standards, clinical policies and procedures, utilization management, pharmacy, population health and Care Management, and quality management. Will support the Chief Medical Officer in ensuring an integrated approach to the physical health, Behavioral Health I/DD and TBI needs of Members. Also responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. Primary Duties May Include, But Are Not Limited To: Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients’ office visits with providers and external physicians. May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. Serves as a resource and consultant to other areas of the company. May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees. Interprets medical policies and clinical guidelines. May develop and propose new medical policies based on changes in healthcare. Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Position Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position’ work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Preferred Qualifications: Board Certified in Child & Adolescent psychiatry is required as per state contract. At least 2+ years’ experience in managed care. At least 1+ year experience working with children, youth and families served by the child welfare system and/or demonstrated familiarity with the State agencies that are involved with their care. #J-18808-Ljbffr

  • Deputy Chief Medical Officer

    1 day ago

    Winston-Salem, North Carolina, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled and experienced Deputy Chief Medical Officer - Psychiatrist to join our team at Elevance Health. This is a hybrid role that requires the successful candidate to be a licensed and domiciled psychiatrist in the state of North Carolina and hold a Child & Adolescent Board Certification.Key ResponsibilitiesOversee and be...

  • Deputy Chief Medical Officer

    1 week ago

    Winston-Salem, North Carolina, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled and experienced Deputy Chief Medical Officer - Psychiatrist to join our team at Elevance Health. This is a hybrid role that requires the ability to work in either our Cary, NC or Winston-Salem, NC office 1-2x a week.Key ResponsibilitiesOversee and be responsible for the delivery of medical services provided to...

  • Deputy Chief Medical Officer

    1 week ago

    Winston-Salem, North Carolina, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled and experienced Deputy Chief Medical Officer - Psychiatrist to join our team at Elevance Health. As a key member of our leadership team, you will be responsible for overseeing the delivery of medical services to children, youth, and families served by the child welfare system.Key ResponsibilitiesOversee the delivery...

  • Deputy Police Chief

    2 weeks ago

    Salem, Illinois, United States City of Salem Police Department Full time

    Deputy Police Chief Job DescriptionThe City of Salem Police Department is committed to maintaining law and order while providing a safe and secure environment for our community. As a Deputy Police Chief, you will play a critical role in leading and managing diverse operations and making a significant impact on our department and community.Key...

  • Deputy Police Chief

    2 days ago

    Salem, United States City of Salem Police Department Full time

    The City of Salem Police Department is committed to maintaining law and order while providing a safe and secure environment for our community. We are currently seeking a dynamic and experienced professional to join our team as Deputy Chief of Police. This critical role offers an opportunity to lead and manage diverse operations and make a significant impact...

  • Chief Financial Officer

    1 day ago

    Salem, Oregon, United States State of Oregon Full time

    Job Title: Chief Financial Officer & Business Services Manager (Budget & Fiscal Manager 1)This is a management service - supervisory role, therefore not represented by a union. This recruitment will be used to establish a list of qualified applicants and may be used to fill future vacancies.About the Role:As the Chief Financial Officer / Business Services...

  • Chief Medical Officer

    2 weeks ago

    Salem, Oregon, United States Salem Health Full time

    Associate Chief Medical OfficerSalem Health is seeking a highly skilled and experienced Associate Chief Medical Officer to lead our medical team and contribute to the organization's success.Key Responsibilities:Oversee the management of medical directors and ensure quality outcomes and productivity measurements are met.Implement and communicate new quality...

  • Chief Medical Officer

    2 days ago

    Salem, Oregon, United States Salem Health Full time

    Associate Chief Medical OfficerSalem Health is seeking a highly skilled and experienced Associate Chief Medical Officer to join our esteemed team. As a key member of our leadership team, you will play a vital role in shaping the future of healthcare in our community.Key Responsibilities:Lead a high-quality team of medical professionals to deliver exceptional...

  • Chief Medical Officer

    2 weeks ago

    Salem, Oregon, United States Salem Health Full time

    Associate Chief Medical OfficerSalem Health is seeking a dedicated Associate Chief Medical Officer (ACMO) to lead our team in delivering high-quality patient care.The ACMO will oversee the supervision and development of provider teams, ensuring a high standard of care and quality outcomes. This role requires strong leadership, guidance, and motivation to...

  • Chief Medical Officer

    5 days ago

    Salem, Oregon, United States Salem Health Full time

    Your Role with Us:Salem Health is seeking a dedicated Chief Medical Officer (CMO) to lead our esteemed team. In this role, you will oversee the delivery of high-quality patient care through supervision and development of the provider teams.Key Responsibilities:Manage assigned Medical Directors in a collaborative and positive way while meeting quality...

  • Financial Planning Specialist

    4 weeks ago

    Salem, Virginia, United States Office of the Chief Financial Officer Full time

    Office of the Chief Financial OfficerJob SummaryFinancial Planning Specialist (Hybrid)$60, $115,094.00 The Office of the Chief Financial Officer is seeking a Financial Planning Specialist to join our team. This position is located in Washington, DC with the Office of the Chief Financial Officer. The incumbent will have responsibility for formulating,...

  • Network Security Specialist

    1 week ago

    Salem, Oregon, United States Office of the Chief Financial Officer Full time

    Job Title: Network Security EngineerJoin the Office of the Chief Financial Officer (OCFO) as a Network Security Engineer and play a critical role in ensuring the security and integrity of our information systems and networks.About the RoleThis position is located in the Office of the Chief Financial Officer (OCFO), Office of the Chief Information Officer...

  • Financial Analyst

    2 weeks ago

    Salem, Oregon, United States Office of the Chief Financial Officer Full time

    Reimbursement SpecialistJoin the Office of the Chief Financial Officer in a challenging role that requires strong analytical and communication skills. As a Reimbursement Specialist, you will play a critical part in ensuring the accuracy and efficiency of healthcare provider reimbursement processes.Key Responsibilities:Monitor and analyze cost reports and...

  • IT Specialist

    2 weeks ago

    Salem, Oregon, United States Office of the Chief Financial Officer Full time

    Job SummaryWe are seeking a highly skilled IT Specialist to join our team in the Office of the Chief Financial Officer. As a key member of our Data Services Group, you will be responsible for designing, developing, testing, and implementing web-based applications using ASP.NET/C#, MVC, and other web technologies.Key ResponsibilitiesDesign and develop...

  • Chief Health and Wellness Officer

    2 days ago

    Winston-Salem, United States University of North Carolina School of the Arts Full time

    This position is responsible for the overall strategic leadership and management of the health and wellness initiatives within the Division of Student Affairs, which is the central unit responsible for services and programs that support the comprehen Wellness, Officer, Health, Chief, Clinical Director, Healthcare, Education

  • Senior Budget Analyst

    2 days ago

    Salem, Oregon, United States Office of the Chief Financial Officer Full time

    Senior Budget Analyst Job DescriptionThe Office of the Chief Financial Officer (OCFO) is seeking a highly skilled Senior Budget Analyst to join their team. As a key member of the Government Operations Cluster (GOC), this role will play a critical part in formulating, justifying, monitoring, and developing process improvement strategies for budgets within...

  • Deputy Sheriff

    7 days ago

    Salem, Oregon, United States Marion County, OR Full time

    Job Title: Deputy SheriffMarion County Sheriff's Office is seeking highly skilled and dedicated individuals to join our Enforcement team as Deputy Sheriffs. As a Deputy Sheriff, you will play a vital role in maintaining law and order in our community, ensuring public safety, and upholding the law.Job Summary:Deputy Sheriffs are responsible for enforcing...

  • Financial Analyst

    2 weeks ago

    Salem, Oregon, United States Office of the Chief Financial Officer Full time

    Reimbursement SpecialistJoin the Office of the Chief Financial Officer in a challenging role that requires strong analytical and communication skills.About the RoleThe Reimbursement Specialist will be responsible for coordinating, monitoring, and performing various functions related to provider reimbursement information and claims. This includes:Monitoring...

  • Associate Chief Medical Officer

    2 days ago

    Salem, United States Salem Health Full time

    Your Role with Us: Salem Health is seeking a dedicated Associate Chief Medical Officer (ACMO) to join our esteemed team. In this role, you will lead a high quality of patient care through supervision and development of the provider teams. The ACMO is a responsible for the oversight of all medical care within the care team while being an active a member of...

  • Associate Chief Medical Officer

    3 days ago

    Salem, United States Salem Health Full time

    Your Role with Us: Salem Health is seeking a dedicated Associate Chief Medical Officer (ACMO) to join our esteemed team. In this role, you will lead a high quality of patient care through supervision and development of the provider teams. The ACMO is a responsible for the oversight of all medical care within the care team while being an active a member of...