Chief Medical Officer, Essence Healthcare

## Chief Medical Officer, Essence Healthcare Apply:
Remote, USA:
Full time:
Posted 3 Days Ago:
R0007074
** Your Future is our Future
** At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.  

We're excited to consider every qualified candidate authorized to work in the United States, although we are unable to sponsor visas for this role at this time.#
** Position:
** Chief Medical Officer, Essence Healthcare#
*
* Position Summary:

** Provides strategic direction and clinical expertise to guide policy, programs, and overall healthcare delivery. Functions in a clinical operations role as a member of the operations team and serves as the clinical lead for Essence Healthcare to ensure the delivery of high quality, cost effective and patient centered care.#
*
* Job Description:

**** Primary Responsibilities
*** Oversees, coaches, mentors, motivates, supports, and develops a cross-functional team of seasoned people leaders with a broad scope.
* Responsible for overseeing and coordinating all clinical aspects of the health plan, including medical and pharmacy management, utilization review, and initiatives to ensure care and services provided align with evidence-based guidelines and best practices.
* Ultimately responsible for medical cost management.
* Plans and facilitates medical director meetings to ensure effective communication and collaboration.
* Fosters strong relationships with Essence physicians and partners with medical groups on provider performance management.
* Participates in the alignment of physician incentives, quality measures, and value-based contracts.
* Maintains strong relationships with ARO Value Based Care Enablement CMOs and clinical teams at partnering organizations.
* Directs and monitors medical management activities and quality management programs as needed to maintain compliance with CMS, NCQA and other accrediting bodies.
* Collaborates with the Corporate Chief Medical Officer (CCMO) on clinical strategy, design and approach, facilitating communications, and managing risk on engagements.
* Acts as an internal consultant on clinical program development and special projects for Lumeris customers.
* Provides support to the Accountable Delivery Systems Institute as needed on matters relating to accountable care, physician engagement/alignment, payer and clinical transformation, and the use of top technology in support of the new models of care.
* Contributes to the Clinical thought leadership of the organization through presentations, case studies and scientific articles.
** Qualifications
* ** MD. or D.O. degree, plus Board Certification
* Current, unrestricted medical license
* 15+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role
* 7+ years of people, program, or project leadership experience or the knowledge, skills, and abilities to succeed in the role
* Demonstrated experience in a successful clinical practice
* Substantial Medicare Advantage experience
* Proven health system, health plan or capitated provider experience with exposure to managing total cost of care, quality, and documentation and coding
* Deep understanding of population health & managed care
* Strong background in administrative clinical leadership
* Solid understanding and experience with population health management strategies
* Knowledge of healthcare financing and the relation to various managed care products (HMO, PPO, Indemnity, and Medicare Advantage)
* Knowledge of continuous quality improvement theory and practice
* Excellent communication and problem-solving skills
* Demonstrated track record of developing productive working relationships internally and externally at all levels
* Expert ability to positively impact results
** Working Conditions
*** While performing the duties of this job, the employee works in normal office working conditions.
** Disclaimer
* ** The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working…