General Practice Other job located in Texas
Job Description
- Managed Care - Payer
- Strategic
- Medicare/Medicaid/Marketplace experience
The Chief Medical Officer (CMO) has accountability for the clinical strategy for Medical Affairs, Quality, and Medical Management all while building sustainable programs that promote innovative ways to achieve improved outcomes for our members. These responsibilities include care management oversight, quality/STAR rating improvements, appropriate utilization, health system transformation and implementation of medical programs/policies, enhancing relationships with providers and facilities, industry policy advocacy, and regulatory agencies. Collaborates with the Executive Leadership Team (ELT) and key contributors to drive and implement strategies to support Community’s mission and vision. The CMO will act as the external “Clinical Leader” for (Login for Information) and must be willing to travel locally and throughout the state as needed. Responsible for driving excellent results for all clinical affordability, quality, population health, growth, Net Promoter Score, and external relationship initiatives. Additional plan medical directors, pharmacy, quality, and others report to this position. The Chief Medical Officer reports to Community’s CEO.