Chief Clinical Officer

1 month ago


Richmond, Virginia, United States Commonwealth of Virginia Full time
Job Summary

We are seeking a highly skilled and experienced Chief Clinical Officer to join our team at the Department of Medical Assistance Services (DMAS). As a key member of our leadership team, you will provide strategic direction and oversight for our clinical programs, ensuring the delivery of high-quality and cost-effective health services to Virginians in the Medicaid program.

Key Responsibilities
  • Provide clinical direction and leadership to support the Agency's mission and advance key initiatives to achieve the quadruple aim of improved population health, reduced per capita cost, and enhanced patient and provider experience.
  • Develop and implement clinical guidelines and medical policy coverage decisions as the medical director of the Medical Support Unit.
  • Work closely with medical directors of the Agency's managed care organizations to resolve recipient issues and drive forward care transformation.
  • Represent Virginia Medicaid at internal and external meetings, including working closely with the Medicaid provider community on high-priority initiatives.
Requirements
  • Completion of Medical School and an approved residency, ideally in Internal Medicine, Family Medicine, OB/GYN, Pediatrics, Emergency Medicine, or Psychiatry.
  • Considerable experience in the development, implementation, operation, and evaluation of complex health care programs.
  • Knowledge of State and Federal Medicaid Policies and Regulatory Reporting.
  • Experience in Utilization Management and Medical Necessity Review, with willingness to be trained on Utilization Management platforms.
  • Strong project management skills, with experience in managing large-scale projects and an understanding of complex governmental organizations.
Preferred Qualifications
  • Knowledge and experience in Public Health, Health Policy Research, Health Services Research, Economics, Biostatistics, or related field.
  • Experience in research and data analytics in a health care/health insurance environment.
  • Considerable knowledge of Medicaid, including Fee-for-Service and Managed Care.
What We Offer

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and experienced healthcare professional looking for a challenging and rewarding role, we encourage you to apply.



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