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Chief Medical Officer, CHRISTUS Health Plan

Company: CHRISTUS Health
Location: Irving
Posted on: February 13, 2019

Job Description:

Description This position assumes overall accountability and oversight of all Health Plan medical functions regardless of organizational structure including owned health plans, and administrative service organizations (ASO) across all product lines. The Health Plan Chief Medical Officer (CMO) establishes strong and collaborative working relationships with administrative and physician leaders across the organization in support of system level initiatives and to drive health plan initiatives and growth. In addition, the CMO serves on the front line in establishing positive working relationships with government leaders. The CMO will be accountable for and support clinical quality, service excellence, pharmacy and medical management, credentialing and community initiatives. In this position, the CMO serves in both a support role and as a catalyst in the development of clinical integration including but not limited to disease management, case management, and risk share opportunities. The CMO will also work closely with CHRISTUS Health Plan executives in identifying opportunities for growth. The CMO will lead the quality initiatives for the plan and support efforts for improved reporting, clinical outcomes and NCQA Accreditation. The incumbent will serve as a leader in technology and culture change including education of all stakeholders on the importance of data, metrics and utilization with focus on increasing the care delivered by CHRISTUS hospitals and physicians. The CMO will chair Health Plan committees and is responsible for reporting to the CHRISTUS Health Plan Board of Directors or other executive boards as requested. The CMO will serve as a thought leader for the organization and demonstrate an ability to develop clear communication with all internal and external stakeholders. The incumbent is accountable for the development and implementation of Health Plan practice guidelines and clinical protocols that lead to the achievement of quality outcomes and cost efficiencies. The CMO must have a strong ability to analyze data to identify opportunities for improvement to quality outcomes or Health Plan medical cost improvement initiatives. Requirements ORGANIZATIONAL REPORTING RELATIONSHIPS: Reports to: CEO, Health Plan Direct Reports: Director, Medical Management Medical Director Director, Quality Director, Credentialing Manager, Pharmacy POSITION QUALIFICATIONS: Education/Skills: M.D. Experience: Minimum of ten (10) years of progressive management experience in a clinical setting, preferably acute care. Minimum of five (5) years of practice experience. Five (5) years of experience as a VP, CMO or similar position in a moderate to large-sized organization. Licenses, Registrations, or Certifications: Current US MD license. Board Certification by one of the American Boards of Medical Specialties.PandoLogic.Category: Healthcare, Keywords: Chief Medical Officer

Keywords: CHRISTUS Health, Irving , Chief Medical Officer, CHRISTUS Health Plan, Executive , Irving, Texas

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