Chief Medical Officer; CMO

Position Summary

Progeny Health is a leading national, tech-enabled women's healthcare company dedicated to Maternity and NICU Care Management. We serve women, infants, and families from conception and pregnancy to postpartum and parenting, with special expertise in managing premature and complex births and resulting NICU admissions. With more than 20 years of experience, our board-certified physicians, nurses, social workers, and others improve health outcomes, enhance the member and provider experience, and lower the overall cost of care.

The Chief Medical Officer will be joining a company passionate about supporting individuals and their families throughout the maternity and NICU journey to measurably increase enrollment and engagement, drive improvements in health outcomes, champion high quality, effective healthcare and optimize maternal and infant health economics. The right individual for this role will be someone who demonstrates an unwavering commitment to our core values and integrates them into every aspect of their work—bringing purpose, integrity, and collaboration to their daily decisions—while thriving in a fast-paced environment.

• Maintains and oversees the NICU Utilization Management (UM), NICU & Maternity Case Management (CM) and Quality Management (QM) Programs and monitors adherence and compliance by reviewing and analyzing company data and dashboards to measure effectiveness. Must have extensive experience monitoring and refining key performance indicators and dashboards of the business.
• Builds customer loyalty through data-driven insights and compelling demonstration of program value, while cultivating trusted relationships with key customer executives to reinforce strategic alignment and long-term partnerships. Supports the preparation, evaluation, and presentations of client program results at periodic client meetings, as needed.
• Engages and builds relationships with payer medical directors as well as hospital NICU teams, outpatient obstetric clinicians, and community partners as needed.
• Oversee the integrity and continued evolution of Progeny Health’s technology platform, ensuring that clinical algorithms and underlying data assets are current, evidence-based, and periodically reviewed to support optimal clinical program performance and innovation.
• Provides oversight of external publications that highlight Progeny Health’s medical management results, ensuring clinical accuracy, data integrity, and alignment with the company’s mission and brand voice.
• Works in close partnership with the SVP of Clinical Operations to ensure best-in-class training programs for all clinical staff, robust clinical oversight, and consistent monitoring of staff performance—driving excellence, accountability, and alignment with Progeny Health’s clinical quality benchmarks and job performance expectations.
• Will assist with the implementation and successful launch of new clients, new product lines, and/or technologies, as needed, to keep our program cutting edge and highly innovative in the marketplace.
• Oversight of Progeny Health’s Medical Director team to ensure fair and consistent medical necessity decision making by applying approved criteria and guidelines, including providing guidance as needed.
• Improves workflow and processes to be more efficient and effective in the delivery of Progeny Health services to its clients.
• Responsible for our continued successful accreditation by URAC and NCQA, as well as oversight of all State, Federal and Client standards/regulations necessary for Progeny Health to provide our services to our customers.
• Leads the Medical Advisory Board and Quality Improvement Committee and manages relationships with members that include practicing physicians across the US.
• Oversight and management of Quality-of-Care issues.

• MD/DO degree and Board-Certified in Neonatology, Obstetrics, MFM, or Pediatrics is required. Experience or deep interest in Maternal & Infant Health desired.
• MPH, MBA or MHA degree preferred
• Minimum of 5 years clinical practice experience after residency
• Minimum of 7-10 years in managed care with health plans preferred, or value-based care…