- Class, Outcome-Driven, and Servant Leadership
- A wide selection of with no pre-existing condition exclusions. for health care and dependent care. with employer contributions. 11 paid holidays annually. 15 days of vacation and 15 days of sick leave in the first year.
- Longevity Bonus recognizing years of public service.
- Public Service Loan Forgiveness eligibility and tuition reimbursement.
- Wellness benefits, including an on-site gym and fitness center discounts.
Strategic Planning and Operational Leadership: Lead the development and execution of divisional goals; adjust operational strategies to enhance program performance; supervise professional staff; and systematically evaluate division operations to implement improvements in efficiency, effectiveness, and fiscal accountability.
Medical Management and Systems Oversight: Oversee medical management activities, including utilization review, determinations of medical necessity, coverage decisions, exceptions to network care, and review of novel or emerging treatment requests.Provide clinical direction and oversight for Medicaid Management Information System (MMIS), claims editing, and fraud, waste, and abuse detection systems to ensure consistent application of medical policy.
Oversee quality assurance, performance improvement initiatives, External Quality Review Organization (EQRO) activities, and quality oversight committees. Establish benchmarks to promote continuous improvement and excellence in service delivery.
Quality and Performance Management: Administer performance standards with measurable criteria to ensure compliance with laws, policies, and clinical best practices. - Other duties as assigned.
- A bachelor's degree in public health or health related degree, business administration or a closely related field AND
- Current license to practice medicine as a Medical Doctor (MD) or Doctor of Osteopathy (DO) in the state of Oklahoma and recognized by national regulatory bodies in the US AND
- Minimum of 5-10 years of postgraduate experience in direct patient care with progressively more responsibility in a health care setting AND
- Be board certified by an appropriate specialty college or program (or DO equivalent) AND
- Three (3) years of medical management or supervisory experience as a medical professional. AND
- Current active state license with DEA privileges; if not fully licensed in OK, must complete licensing in OK within 6 months of hire AND
- Must remain up to date with annual, continuing education requirements
- ABMS Board Certification
- MD/DO License with at least 10 years' experience
- Advanced management degree (MBA, MPH, MPM, or related degree)
- Working knowledge of CPT/HCPCS coding
- Work experience as a Medical Director
- Supervisory and leadership experience
- Capable of effectively communicating and motivating associates at all levels of the organization, including executive staff
- Experience in implementing utilization and quality improvement strategies/techniques and experience with physician behavior modification
- Experience in developing medical policy, procedures and programs
- Excellent public/physician relations
- Generous state-paid benefit allowance to offset insurance premiums.
- A wide selection of top-tier health insurance plans.
- Optional flexible spending accounts for health care or dependent care expenses.
- Employee Assistance Program (EAP) offering confidential support.
- Wellness benefits, including an on-site gym and fitness center discounts. 11 paid holidays annually. 15 vacation days and 15 sick days in your first year.
- Retirement Savings Plan with substantial employer contributions.
- Longevity Bonus to reward years of service.
- Public Service Loan Forgiveness eligibility and reimbursement for educational expenses.
- Professional development training opportunities, including CEU support.
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Chief Medical Officer - Oklahoma City - Oklahoma Watch Inc.
Description
At the Oklahoma Health Care Authority (OHCA), your work matters. Every day, our team helps ensure Oklahomans have access to better health and better care. Guided by our core values,Passion for Purpose, Trust & Transparency, Empowerment & Accountability, Best-in
Medical Oversight and Clinical Guidance:
Provide expert medical review and executive-level clinical leadership for utilization management, case management, medical necessity determinations, appeals, quality improvement, program integrity, and policy development activities.
Ensure all medical determinations meet accepted standards of care, evidence-based guidelines, and applicable federal and state requirements.Policy Interpretation, Development, and Regulatory Alignment:
Interpret federal and state legislation and regulations affecting medical, behavioral health, dental, and pharmacy policy. Provide regular clinical and strategic input on the potential impact of policy and operational decisions on health care delivery.
Advise internal leadership and collaborate with OMES/EGID, actuaries, and other partners to assess statutory and regulatory impacts on benefits and programs.
Leadership, Supervision, and Knowledge Transfer:
Lead, mentor, and supervise Medical and Dental Directors, consultants, and clinical and administrative staff.
Identify training needs, support professional development, and foster a culture of continuous learning and accountability to maintain current medical knowledge and elevate team performance.
Stakeholder Engagement and Representation:
Partner with internal and external stakeholders to align programs with state and federal requirements, support quality improvement, and advance innovation.
Represent the agency at state and national meetings, task forces, legislative activities, and collaborative partnerships to promote evidence-based care and strengthen agency outcomes.
Clinical Authority and Licensure:
Exercise independent clinical judgment in medical determinations, appeals, and coverage decisions.
Maintain a current Oklahoma MD or DO license as required to fulfill assigned responsibilities
Supervisory Responsibilities: This position supervises.
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Chief Medical Officer
Full time Only for registered members Oklahoma County
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Medical Office Assistant
Only for registered members Oklahoma City, OK
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Medical Office Assistant
Only for registered members Oklahoma City, Oklahoma City, OK, US
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Medical Front Office
Only for registered members Oklahoma City, OK, US
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Medical Front Office
Only for registered members Oklahoma City
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Medical Front Office
Only for registered members Oklahoma City
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Medical Office Clerk
Only for registered members Oklahoma City, OK
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Regional Chief Medical Officer
Only for registered members Oklahoma City, OK
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Regional Chief Medical Officer
Only for registered members Oklahoma City, OK
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Regional Chief Medical Officer
Only for registered members Oklahoma City
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Medical Front Office
Full time Only for registered members Oklahoma City
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Medical Spa Office Manager
Full time Only for registered members Oklahoma City
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Medical Office Assistant
Full time Only for registered members Oklahoma City
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Medical Front Office
Full time Only for registered members Midwest City
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Medical Office Manager
Only for registered members Oklahoma City, OK
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Medical Front Office
Only for registered members Midwest City
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Medical Office Biller
Only for registered members Warr Acres, OK
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Medical Office Administrator
Only for registered members Oklahoma City, OK
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Chief Medical Officer
Only for registered members Oklahoma County, OK
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Medical Office Manager
Only for registered members Oklahoma City, OK
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Chief Medical Officer
Only for registered members Oklahoma County, OK