Chief Medical Officer/Regional VP Health Services

5 hours ago


Tulsa, Oklahoma, United States CLevelCrossing Full time
Job Title: Chief Medical Officer/Regional VP Health Services

At CLevelCrossing, we are seeking a highly skilled and experienced Chief Medical Officer/Regional VP Health Services to join our team. As a key member of our leadership team, you will be responsible for overseeing health services staff, developing and executing our medical and utilization review strategy, and ensuring proper services are being delivered to our members.

Key Responsibilities:

  • Oversee health services staff to ensure high-quality care is being delivered to our members.
  • Develop, guide, and execute Humana's medical and utilization review strategy to ensure alignment with our business goals.
  • Represent Humana on state of Oklahoma governing bodies and in various Oklahoma forums.
  • Consult with other physicians throughout the state of Oklahoma on medical cases.

Requirements:

  • MD or DO degree.
  • 5 or more years of established clinical experience, either in a hospital or clinic setting.
  • 8 or more years of direct leadership experience.
  • Current and unrestricted Oklahoma medical license and/or willingness to obtain an Oklahoma medical license.
  • Excellent communication skills.
  • Analysis and interpretation skills with prior experience leading teams focusing on quality management or utilization management.

Preferred Qualifications:

  • Knowledge of the managed care industry, including Medicare, Medicaid, and/or Commercial product.
  • Medical management experience, working with health insurance organizations, hospitals, and other healthcare providers.
  • Internal medicine, family practice, geriatrics, hospitalist, ER, PM&R, pediatrics, and/or clinical specialist experience.

Additional Information:

  • Incumbent must live in the state of Oklahoma and have the ability to work in the office whenever needed.
  • Requires travel as business needs dictate.
  • COVID Policy: We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.


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