- Oversee daily operations of medical group, ensuring efficient and effective delivery of high-value patient care.
- Professional oversight, support, and strategic alignment of care delivery related initiatives.
- Tracking and communication of performance data to medical staff and non-clinical leadership teams.
- Adheres to and supports regulatory, compliance, and care guidelines as formulated by the department, CMS, NCQA or executive team or other body.
- Works alongside CMO to enhance programs, improve outcomes, optimize patient experience and reduce cost of care, and educate the medical staff as appropriate.
- Provide clinical leadership and guidance to medical staff, promoting a culture of excellence and accountability
- Identify, intervene, document and report Risk management issues
- Collaborate with the CMO to develop and implement strategic plans, goals, and objectives for the medical group while managing performance
- Co-Develop and implement policies, procedures, and protocols to ensure compliance with regulatory requirements and industry standards
- Analyze data and metrics to identify areas for improvement, and develop strategies to address gaps in care
- Foster strong relationships with physicians, staff, community partners, and other stakeholders to promote collaboration
- Participate in quality improvement initiatives, peer review, and credentialing processes
- Represent the medical group in internal and external forums, promoting the organization's mission and values
- Review of large claims and utilization trends with relevant teams within FHCP as required
- Concurrent review of prior authorization requests, medical necessity, and care needs as needed
- Other duties as assigned by the CMO or CEO
- Support quality improvement initiatives aimed at reducing preventable adverse outcomes and improving new member care and satisfaction.
- Collaborate with internal teams (Member Services, Case Management, Provider Relations) to resolve escalations or barriers.
- Contribute to the development of member education materials and resources for both transition of care and onboarding processes.
- Participate in interdisciplinary meetings, case reviews, and staff training as appropriate.
- Perform other duties as assigned by the CMO or CEO of FHCP.
- Medical Doctor or Doctor of Osteopathic Medicine (M.D. or D.O.)
- Board Certification by the American Board of Medical Specialties
- Active unrestricted FL Medical License without history of adverse action.
- Commitment to additional training in payor operations, clinical economics, medical review, and informatics.
- Comfortable with overseeing operationalization of organizational strategy, workflow design, development of care pathways, management to performance and accountability structures.
- Skill in crucial conversations and change management.
- Knowledge of local managed care systems and networks is valued.
- Minimum 5 years of experience in clinical practice with leadership responsibilities.
- History of work in risk adjustment, managed care, utilization review, care coordination, case management support, patient advocacy, peer review, credentialing, informatics and quality improvement highly valued.
- Strong communication, presentation, active listening, and interpersonal skills required.
- Comfort and skill with platforms common to the development and presentation of quality and performance data.
- Ability to build rapport with medical staff, clinical support staff, practice leadership, and working collaboratively with executive team and internal business units.
- Excellent organizational and time-management skills with attention to detail.
- Proficiency in electronic health records (EHR), care management systems, and Microsoft Office Suite.
- Comfort with matrix-style organizational structure.
- Competitive salary
- Bonus opportunity
- 401(K) Tax Deferred Plan
- HMO Health Benefits for provider & eligible dependents
- Group Term Life
- Group Disability ·
- Malpractice Insurance
- Paid Leave Time
- CME Allowance & Days
- Licenses, Fees & Dues reimbursed
- Travel Reimbursement
- Relocation Assistance
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Physician Internal Medicine - Daytona Beach - 1888MDSEARCH,Inc.
Description
Job Description
FL Associate CMO Central FL
Large staff model HMO, is seeking an Associate Chief Medical Officer (ACMO). This position is a key leadership role responsible for overseeing the daily operations of the medical group, driving quality improvement and operational excellence, and implementing strategic initiatives. Reporting to the Chief Medical Officer (CMO), the ACMO will provide clinical leadership, guidance, and support to medical staff, while fostering strong relationships with physicians, staff, and other stakeholders. This position requires a board-certified physician with strong clinical and leadership skills, and a proven track record of driving positive changes in a healthcare setting.
PRIMARY FUNCTIONS:
SECONDARY FUNCTIONS:
QUALIFICATIONS:
Education, skills and experience:
COMPENSATION DETAILS
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