Chief Medical Officer - Valley Health Plan
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Full Job Description
Valley Health Plan (VHP) is seeking a Chief Medical Officer (CMO) who will support VHP's mission to address the holistic needs of the members served and will be actively involved in the shift toward a value-based, integrated delivery system in collaboration with strategic partners to ensure the delivery of the highest value medical, pharmaceutical, behavioral, and social services and supports. VHP's CMO has overall accountability and oversight of all clinical functions and medical cost trends consistent with the vision and strategy set forth by VHP's senior executive leadership team.
Example of Duties
- Stays abreast of emerging models of value-based healthcare delivery.
- Identifies and defines new and innovative clinical strategies to support VHP's goals and objectives.
- Develops programs that drive clinical integration, quality and fiscal and service performance.
- Provides medical expertise to all of VHP's operating units, including Provider Contracts Administration, Credentialing, Concurrent In-patient Admission Review, Prior-authorizations, Claims, Marketing and Sales, etc.
- Ensures the integrity of VHP's clinical processes and provides leadership to the quality management and improvement program.
- Participates in the design and implementation of value-based delivery models and ensures that the technology and analytic infrastructure is implemented to demonstrate achievement of expected performance outcomes.
- Establishes and implements practice guidelines, policies, and protocols compliant with regulatory and accreditation requirements.
- Designs and implements the clinical oversight program.
- Participates or chairs clinical committees as designated.
- Leads the design and implementation of programs and practices to identify opportunities for improvement of quality outcomes and medical cost improvement initiatives.
This recruitment requires the submission of an online application. No paper applications will be accepted. Applicants must apply online at www.sccjobs.org. It is important that the following information be included in your application packet as it will be evaluated during the competitive review process: 1. Résumé; 2. References contact information (minimum of 3); 3. Cover letter explaining why you are the ideal candidate including specific examples from your experience (maximum of 3 pages); 4. Complete responses to the supplemental questions.
Questions regarding this Executive recruitment may be directed to Adrian Cudal, Executive Services, at adrian.cudal@esa.sccgov.org.
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