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CareSource Maryland, United StatesVP, Market Chief Medical Officer(Need To Live In Florida) page is loaded · VP, Market Chief Medical Officer(Need To Live In Florida) · Apply locations Florida WFH posted on Posted 2 Days Ago job requisition id R7147 Job Summary: · The Vice President, Market Chief Medical Offic ...
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Mid-Atlantic Permanente Medical Group Maryland, United States Full timeThe Mid-Atlantic Permanente Medical Group, PC (MAPMG), located throughout the metropolitan Baltimore and Washington, D.C. areas, is currently interviewing for a Dermatologis t to join our Gaithersburg Medical Center . Enjoy an integrated medical system and freedom from runnin ...
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VP, Market Chief Medical Officer(Need To Live In Florida) - Maryland, United States - CareSource
Description
VP, Market Chief Medical Officer(Need To Live In Florida) page is loaded VP, Market Chief Medical Officer(Need To Live In Florida)Apply locations Florida WFH posted on Posted 2 Days Ago job requisition id R7147
Job Summary:
The Vice President, Market Chief Medical Officer has accountability for ensuring that local health plan, CareSource initiatives focusing on clinical excellence, quality improvement, appropriate inpatient and outpatient utilization, affordability, health system transformation including provider network, compliance with regulatory mandates, growth and other focused improvements are implemented and successfully managed to achieve goals.
Primary responsibility and accountability for Total Medical PMPM performance and targets for the health plan, achieved by close collaboration with relevant enterprise stakeholdersParticipate in hospital Joint Operations Committee meetings with prioritized providers, data sharing with physicians and physician groups on quality and efficiency improvement opportunities, completing peer to peer communications for quality of care as required, and implementing local and national Health Care Affordability Initiatives in order to achieve inpatient and outpatient utilization and affordability goals
Provides oversight to the HEDIS and CMS Stars data collection process and local performance strategy, CAHPS improvement strategy, and drives Health Plan accreditation activities as well as quality rating improvement initiatives and other clinical interventions for the local health plan
Responsible for achievement of goals for contractually required clinical Quality Performance Indicators and state regulator-driven pay-for-quality initiatives.
Oversees market peer review processes including Quality of Care and Quality of Service issues, and leads the Physician Advisory Committee (PAC), Quality Management Committee (QMC) and other associated committees.
Effectively engage with external constituents such as consumers/members, physicians, medical and specialty societies, hospitals and hospital associations, federal/state regulators, and market-based collaboratives; act as the outward face to State regulators based upon Contract, and direction of Plan President and CareSource CMO and should provide clinical thought leadership with external entities and the stateLead the development of a strategy to identify clinical areas where there are disparities in health outcomes across groups, and approach to closing gaps in health outcomes; Drive quality improvement and provider incentive models through identification of appropriate practices; initial contact and target setting, and Implementation, as well as ongoing leadership during monthly JOCs.
The Plan CMO is accountable for oversight of the entire clinical model (end to end) within the market, including, but not limited to, CareSource's Accountable Care Platform, clinical practice transformation, patient-centered medical homes, accountable care organizations, creative care management programs, high-performance networks and network optimization, and consumer engagement.
Deliver the clinical value proposition focused on quality, affordability and service, in support of growth activities of the local Health Plan; actively promote positive relations with State/local regulatory authorities and Medical SocietiesResponsible for identifying opportunities through participation in enterprise and local Market reviews, and healthcare economics analyses; Lead and influence Health Plan employees by fostering teamwork and collaboration, driving employee engagement and leveraging diversity and inclusion
Develop and mentor others while also building awareness to your own strengths and development need; Focus staff on the company's mission; inspire superior performance; set clear performance goals; Completion of an accredited Medical Degree program as a medical doctor (MD) or Doctor of Osteopathic (DO) medicine is required
Successful completion of a residency training program, preferably in primary care is required
A minimum of two (2) years of Quality management experience is required
Familiarity with current medical issues and practices
Strong leadership skills, as demonstrated by continuously improved results, team building, and effectiveness in a highly matrixed organization
Proven ability to develop relationships with network and community physicians and other providers
Excellent project management skills
Solid data analysis and interpretation skills; Strong team player and team building skills
Creative problem-solving skills.
Proficiency with Microsoft Office applications
Current, unrestricted license to practice medicine in state of practice as necessary to meet regulatory requirements is required
Board Certification, preferably in primary care specialty is required; To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position.
CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment.
Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
CareSource adheres to all federal, state, and local regulations.CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position.
General office environment; May be required to work evenings/weekendsAbility to travel as required by the needs of the business
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.Compensation Type (hourly/salary):
Cultivate Partnerships
CareSource is an Equal Opportunity Employer, including disability and veteran status. VP, Market Operations(Need to Live in Florida)
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Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day.
We do what it takes to form creative solutions that make our community and the world just a little better.
