Job Attributes

Work Schedule/Shift

Not Available

Job ID

5000413622606

Req. No

70031044

Job Title

Chief Medical Officer, CHRISTUS Health Plan

Region

CHRISTUS System Office

Category

Executive

Division

Not Defined

Company

CHRISTUS Health

Travel

31-40%

Facility

Corp USFHP-55100

Address

919 Hidden Ridge
Irving, TX  75038
US

Type

Full Time

Apply Now Chief Medical Officer, CHRISTUS Health Plan Job in Irving

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.

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.
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