Market Chief Medical Officer, MD/DO

2 weeks ago


Charleston, South Carolina, United States AmeriHealth Caritas Full time
Job Overview

AmeriHealth Caritas is seeking a highly skilled and experienced Chief Medical Officer to lead our market clinical and population health strategy and operations. The successful candidate will be responsible for developing and implementing clinical and quality initiatives to achieve goals within the plan.


Key Responsibilities
  • Develop and implement clinical and quality initiatives to improve patient outcomes and reduce costs.
  • Collaborate with providers and stakeholders to develop strategic initiatives to guide outcomes.
  • Lead and manage a team of clinical and quality professionals to achieve goals and objectives.
  • Develop and maintain relationships with key stakeholders, including providers, payers, and regulatory agencies.
  • Stay up-to-date with industry trends and best practices in population health management and clinical quality improvement.

Requirements
  • MD or DO degree from an accredited institution.
  • Board certification in a relevant medical specialty.
  • 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, 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.

About AmeriHealth Caritas

AmeriHealth Caritas is a mission-driven organization with over 30 years of experience delivering 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. 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.


Benefits
  • 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.

Join Our Team

We are passionate about helping people get care, stay well, and build healthy communities. If you want to make a difference, we would like to connect with you.


Discover More

Learn more about us at www.amerihealthcaritas.com.


Apply Now

Apply for this exciting opportunity to join our team and make a difference in the lives of millions of people.



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