Chief Medical Executive Lead
7 days ago
AmeriHealth Caritas is seeking a visionary leader to drive clinical and population health strategies in Charleston, SC.
About UsWe are a leading healthcare solutions company passionate about improving lives through innovative products and services.
Our national footprint allows us to make a meaningful impact on millions of people's health and wellbeing.
We offer integrated managed care products, pharmaceutical benefit management, and specialty pharmacy services that make us a trusted partner in the industry.
Job SummaryThe Market Clinical Strategist reports directly to the VP Population Health Medical Services and works closely with the Plan Market President.
This role is responsible for developing and implementing market clinical and population health strategies to drive quality and cost outcomes.
The ideal candidate will be accountable for population health management strategy, quality, clinical, and total cost of care initiatives.
Responsibilities- Develop and implement market clinical and population health strategies to drive quality and cost outcomes.
- Collaborate with providers and utilize data to develop strategic initiatives to guide outcomes.
- Lead and oversee segment leaders and strategic direction of clinical, quality, and population health programs across care management, utilization management, quality, and value-based care.
- Analyze data 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.
- Unrestricted MD or DO 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 with quality improvement methodologies (IHI, Lean, Six Sigma), population health management approaches, and medical trend and economics experience.
- Strong analytical and population health 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.
- Flexible work solutions, including remote options and 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.
Earn an estimated salary of $275,000 - $325,000 per year based on location and experience.
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