12896 chief medical officer jobs found

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. Job Summary: The NovaWell Chief Medical Officer (CMO) is a senior executive physician leader and the chief clinical spokesperson for NovaWell reporting to the President & CEO. At the national level, this position has accountability for all clinical and network strategy, being the clinical face of NovaWell nationally and industry thought leader around integrated care and behavioral health services. The CMO will support business development, client retention, product innovation and network strategy. At the client level, the CMO will be accountable for oversight, development and execution of policies and procedures, utilization management, case management and oversight of medical cost reduction initiatives, population health programs, quality programs, integrated care models, relationship management with clients, review and oversight of external clinical communications. The...

Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Responsibilities The CMO Group Medicare will provide medical leadership and strategy for the GM business. Work with local market utilization management and case management teams for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer review on quality of care complaints. Participate in National, Regional and local meetings of organizations of interest to Group Medicare. Speaking engagements to provide thought leadership on behalf of Humana Group Medicare. Oversee quality improvement and HEDIS/STARS metrics to improve with corporate and local market resources. Provide guidance for the implementation of...

Posted on Jun 14, 2021 Apply for this job Your email: Upload resume: Profile Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Responsibilities Provide medical leadership and strategy for the GM business. Work with local market utilization management and case management teams for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer review on quality of care complaints. Participate in National, Regional and local meetings of organizations of interest to Group Medicare. Engage in speaking engagements to provide thought leadership on behalf of Humana Group Medicare. Oversee quality improvement and HEDIS/STARS metrics to improve with corporate...

Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Responsibilities The CMO Group Medicare will provide medical leadership and strategy for the GM business. Work with local market utilization management and case management teams for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer review on quality of care complaints. Participate in National, Regional and local meetings of organizations of interest to Group Medicare. Speaking engagements to provide thought leadership on behalf of Humana Group Medicare. Oversee quality improvement and HEDIS/STARS metrics to improvement with corporate and local market resources. Provide guidance for the implementation...

Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Responsibilities The CMO Group Medicare will provide medical leadership and strategy for the GM business. Work with local market utilization management and case management teams for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer review on quality of care complaints. Participate in National, Regional and local meetings of organizations of interest to Group Medicare. Speaking engagements to provide thought leadership on behalf of Humana Group Medicare. Oversee quality improvement and HEDIS/STARS metrics to improve with corporate and local market resources. Provide guidance for the implementation of...

Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Responsibilities The CMO Group Medicare will provide medical leadership and strategy for the GM business. Work with local market utilization management and case management teams for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer review on quality of care complaints. Participate in National, Regional and local meetings of organizations of interest to Group Medicare. Speaking engagements to provide thought leadership on behalf of Humana Group Medicare. Oversee quality improvement and HEDIS/STARS metrics to improve with corporate and local market resources. Provide guidance for the implementation of...

The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Responsibilities Provide medical leadership and strategy for the GM business. Work with local market utilization management and case management teams for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer review on quality of care complaints. Participate in National, Regional and local meetings of organizations of interest to Group Medicare. Deliver speaking engagements to provide thought leadership on behalf of Humana Group Medicare. Oversee quality improvement and HEDIS/STARS metrics to improve with corporate and local market resources. Provide guidance for the implementation of regional clinical programs and...

Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Responsibilities The CMO Group Medicare will provide medical leadership and strategy for the GM business. Work with local market utilization management and case management teams for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer review on quality of care complaints. Participate in National, Regional and local meetings of organizations of interest to Group Medicare. Speaking engagements to provide thought leadership on behalf of Humana Group Medicare. Oversee quality improvement and HEDIS/STARS metrics to improve with corporate and local market resources. Provide guidance for the implementation of...

Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Responsibilities The CMO Group Medicare will provide medical leadership and strategy for the GM business. • Work with local market utilization management and case management teams for inpatient cases. • Participate in Quality Operations including Quality Management Committee, monitor initial peer review on quality of care complaints. • Participate in National, Regional and local meetings of organizations of interest to Group Medicare. • Speaking engagements to provide thought leadership on behalf of Humana Group Medicare. • Oversee quality improvement and HEDIS/STARS metrics to improve with corporate and local market resources. • Provide guidance for the implementation of...

Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Responsibilities The CMO Group Medicare will provide medical leadership and strategy for the GM business. Work with local market utilization management and case management teams for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer review on quality of care complaints. Participate in National, Regional and local meetings of organizations of interest to Group Medicare. Speaking engagements to provide thought leadership on behalf of Humana Group Medicare. Oversee quality improvement and HEDIS/STARS metrics to improve with corporate and local market resources. Provide guidance for the implementation of...

Assistant Chief Medical Officer All Candidates applying need to be vaccinated for COVID and show proof of receiving the COVID vaccine before being interview and hired. We are an integrated medical, mental health, and dental clinic, located in Swissvale. We serve the neighborhoods of Swissvale, Wilkinsburg, Braddock, the greater Pittsburgh area, and all people who come to us. At Metro, our providers collaborate with each other to treat every aspect of a patient’s health, all under one roof. We offer all of our services to everyone, regardless of identity, income, insurance status, or the ability to pay. Metro Community Health Center extends great benefits to our eligible employees. MCHC current benefits are: MCHC pays 100% of the employee premium for UPMC Gold Small Business Medical, United Concordia dental, STD, LTD and Life insurance VBA vision coverage is offered as voluntary coverage that paid for by the employee Medical and Dependent Care FSA and HRA 2 weeks of paid parental...

Overview CommonSpirit Health is a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 by Catholic Health Initiatives and Dignity Health. With its national office in Chicago and a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians, CommonSpirit operates more than 2,000 care sites from clinics and hospitals to home-based care and virtual care services. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen -- both inside our hospitals and out in the community. The South Region Chief Medical Officer is a key senior management position responsible for providing leadership, management, and strategic direction to ensure the delivery of high quality,...

The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. Remote, hybrid - must reside in California. Summary Under administrative direction the CMO is responsible for leading efforts that will provide innovative solutions that support quality healthcare, promote personal accountability for health and wellness, and offer superior service and partnerships to the constituents served by HPSJ. Oversees Medical Management departments including strategic and regulatory initiatives, clinical analytics, pharmacy, and medical directors. Will be responsible for implementing all Medical Management aspects of Medicare. Work is varied and highly complex and requires a high degree of discretion and independent judgment. Will collaborate with the CMO to ensure regulatory compliance and quality care for members through all Medical Management activities. Supervises Pharmacy, Clinical Analytics, Strategic...

Chief Medical Officer (CMO) - 100% Remote A rapidly growing national leader in wound care services is seeking an experienced Chief Medical Officer (CMO) to oversee and enhance clinical operations across the organization. The ideal candidate will be Board Certified/Board Eligible (BC/BE) with a minimum of five years of healthcare experience, preferably in wound care management. The CMO will play a crucial role in developing and implementing medical strategies that align with the organization’s goals while ensuring the highest quality of care for patients. This position requires a strong leader capable of collaborating with executive management and clinical teams to uphold best practices and drive continuous improvement in clinical outcomes. Key Responsibilities: Clinical Leadership: Provide visionary leadership for clinical services, fostering a culture of excellence in wound care. Oversee clinical governance, ensuring adherence to best practices, regulatory...

Chief Medical Officer (CMO) - 100% Remote A rapidly growing national leader in wound care services is seeking an experienced Chief Medical Officer (CMO) to oversee and enhance clinical operations across the organization. The ideal candidate will be Board Certified/Board Eligible (BC/BE) with a minimum of five years of healthcare experience, preferably in wound care management. The CMO will play a crucial role in developing and implementing medical strategies that align with the organizations goals while ensuring the highest quality of care for patients. This position requires a strong leader capable of collaborating with executive management and clinical teams to uphold best practices and drive continuous improvement in clinical outcomes. Key Responsibilities: Clinical Leadership: Provide visionary leadership for clinical services, fostering a culture of excellence in wound care. Oversee clinical governance, ensuring adherence to best practices, regulatory...