Market Chief Medical Officer, MD/DO (must be local to Charleston, SC)

Responsibilities

Accountabilities :

• Works and collaborates with providers and utilizes data to develop strategic initiatives to guide outcomes.
• Experience in leadership and oversight of segment leaders and strategic direction of clinical, quality, and population health programs across care management, utilization management, quality, and value based care.
• Experience in using data analysis 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.
• Market thought leader for the internal organization, external providers, and regulatory (local, state and federal) and accrediting agencies.

Education / Experience :

• The Market CMO role is expected to be present in the Charleston, SC office at least 2 days a week with travel to local providers, governmental offices, and the community.
• MD or DO.
• Board certified in area of specialty.
• An 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 is required, 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.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. 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.

Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

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.

PH #HM

Generous paid time off and paid volunteer time off.

Employer-matched 401(k) and additional non-elective contributions, starting on day one.

Medical, dental, and vision plans with coverage starting on day one.

Employee assistance programs, fitness reimbursements, nutrition counseling, and more.

Employer-paid life insurance, with opportunities to purchase additional coverage.

Employer-paid short-term disability coverage and long-term disability coverage.

Tuition assistance, including reduced tuition at certain schools.

Financial assistance with adoption, including paid time off.

Flexible spending and health savings accounts to pay for qualified expenses.

Discount programs on entertainment, travel, and more.