Chief Clinical Officer

1 day ago

Oakland, California, United States Altais Health Solutions Full time
About Our Company

At Altais Health Solutions, we're committed to revolutionizing the healthcare system by providing innovative clinical support tools, technology, and services. Our mission is to enable better healthcare experiences for physicians, advanced care providers, patients, and the clinical community. We're building a team of bold and curious clinicians and innovators who share our passion for improving healthcare outcomes.

About Your Team

We're a dynamic and fast-growing organization with a team of 4,000+ physicians working in over 40 cities throughout California, caring for more than 500,000 patients. If you're passionate about reshaping healthcare and want to work for a mission-driven organization where new ideas and innovation are valued, then we'd like to meet you.

About Your Work

The Chief Clinical Officer of Altais Health Solutions will provide strategic clinical leadership and oversight for the division. This role is pivotal in driving quality improvement, risk adjustment, care management, medical management, utilization management, pharmacy, and provider engagement across the entire state of California. The Chief Clinical Officer will be instrumental in implementing innovative care models and technologies aimed at reducing the administrative burden on providers, enhancing patient care, and expanding Altais' network across California and beyond.

You Will Focus On:

Clinical Leadership:

  • Provide visionary clinical leadership to the Altais Health Solutions Network Division.
  • Develop and implement clinical strategies that align with organizational goals and improve patient outcomes.
  • Lead the execution and deployment of innovative care models and technologies.

Quality and Risk Adjustment:

  • Oversee quality improvement initiatives to ensure high standards of care.
  • Manage front-end risk adjustment processes to optimize patient care and financial performance.
  • Ensure compliance with regulatory requirements and industry standards.

Care Management:

  • Direct care management programs to enhance patient care coordination and outcomes.
  • Implement strategies to reduce hospital readmissions and improve chronic disease management.
  • Collaborate with care teams to develop patient-centered care plans.

Medical Management:

  • Oversee medical management activities, including utilization management and clinical guidelines.
  • Ensure appropriate use of medical resources and adherence to evidence-based practices.
  • Lead efforts to reduce unnecessary medical costs while maintaining quality care.

Utilization Management:

  • Manage utilization review processes to ensure efficient use of healthcare services.
  • Develop and implement policies to optimize resource utilization and reduce waste.
  • Monitor and analyze utilization data to identify trends and opportunities for improvement.

Pharmacy Management:

  • Oversee pharmacy services, including formulary management and medication therapy management.
  • Ensure safe and effective use of medications across the network.
  • Collaborate with pharmacy teams to implement cost-effective medication strategies.

Provider Engagement:

  • Foster strong relationships with network providers to enhance collaboration and engagement.
  • Develop and implement provider education and training programs.
  • Address provider concerns and feedback to improve network performance.

Innovation and Technology:

  • Lead the adoption of innovative technologies to streamline administrative processes and improve care delivery.
  • Implement digital health solutions to enhance patient engagement and outcomes.
  • Stay abreast of emerging trends and technologies in healthcare.

Strategic Planning and Expansion:

  • Contribute to the strategic planning and expansion of Altais' network in California and beyond.
  • Identify opportunities for growth and development within the network.
  • Collaborate with market leaders to achieve organizational objectives.

Network Oversight:

  • Oversee the Brown and Toland network, Altais Care Network, and Altais Care Alliance Network.
  • Ensure clinical integration across all networks to drive cohesive and high-quality care.
  • Drive clinical performance on ACO/PPO programs to meet and exceed performance metrics.

The Skills, Experience & Education You Bring

  • MD or DO from an accredited institution, board certification in a relevant California medical specialty.
  • Advanced degree in healthcare administration, public health, or related field.
  • At least 10 years of clinical experience, including 8+ years in a leadership role.
  • Experience with innovative care models, healthcare technologies, and multi-state healthcare organizations.
  • Deep understanding of California healthcare regulations, market dynamics, and quality improvement.
  • Strong knowledge of risk adjustment, care management, and utilization management.
  • Excellent communication, leadership, and interpersonal skills with the ability to work effectively across diverse teams.
  • Dedication to enhancing patient care and provider satisfaction.

You Share our Mission & Values

  • You are passionate about improving the healthcare experience and want to be part of the Altais mission.
  • You are bold and curious – willing to take risks, try new things and be creative.
  • You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
  • You are compassionate and are known as someone who demonstrates emotional intelligence, considers others when making decisions and always tries to do the right thing.
  • You co-create, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
  • You build trust with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.

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