Chief Medical Officer, Medical Group

2739

Remote?: 1

Highlights (Bonus, shift, relocation, info for job):

Job Summary

 

This role serves as a senior clinical leader of a financially at-risk value based medical group, responsible for overseeing all medical and behavioral health providers; ensuring the delivery of high-quality, cost-effective, and patient-centered care. This role is pivotal in aligning provider influenced clinical operations with value-based care objectives, improving health outcomes, and managing total cost of care.

 

Duties and Responsibilities

 

Clinical Leadership & Oversight

- Provides strategic direction and clinical oversight to all physicians, advanced practice providers, and clinical staff. - Ensure adherence to AbsoluteCare clinical pathways, evidence-based clinical guidelines and best practices. - Lead and set the culture of accountability for provider performance evaluations and review processes.

 

Quality & Outcomes Management

- Help develop and implement quality improvement initiatives to enhance patient outcomes and satisfaction. - Monitor and report on key performance indicators (KPIs) including cost of care, HEDIS, STAR ratings, and clinical documentation excellence risk adjustment metrics. - Drive initiatives to reduce unnecessary cost (referrals, testing), hospital admissions, readmissions, and emergency department utilization.

 

Utilization & Cost Management

- Collaborate with finance and operations teams to manage medical cost trends, operational overhead cost trends, productivity, and ensure financial sustainability. - Oversee provider practice patterns and how this directly impacts utilization management, care coordination, population health strategies, and productivity. - Support appropriate accurate documentation and coding opportunities.

 

Clinical Pathway Adherence

- Ensure adherence to clinical pathways and protocols to standardize care delivery that directly impact clinical outcomes and total cost of care (affordability). - Monitor and evaluate clinical pathway outcomes and make necessary adjustments.

Provider Recruitment, Retention, Engagement & Development

- Continue to build a highly engaged provider group

- Address provider concerns and support professional growth, satisfaction, and retention.

-Foster a culture of accountability, collaboration, and continuous improvement among providers. - Lead educational sessions, case reviews, and clinical forums to support provider development.

Population Health & Utilization Management

- Develop and implement population health management strategies to achieve cost savings goals. - Monitor population health, utilization metrics and outcomes to drive continuous improvement.

Patient Engagement

- Develop strategies to enhance patient engagement and satisfaction. - Implement patient-centered care models and shared decision-making practices.

Compliance & Risk Management

- Ensure compliance with all regulatory, legal, and accreditation standards. - Participate in audits, corrective action plans, and risk mitigation strategies.

 

Minimum Qualifications

 

· Licensed physician in the state of practice. (MD or DO degree from an accredited institution)

· Board certified Internal Medicine, Family Practice or relevant specialty.

· Active and unrestricted medical license.

· Minimum 5 years (> 5 years preferred) of successful experience leading providers within a multi-state at-risk value based primary care medical group. Center based and community based preferred.

· Experience and successful track record with value-based care, managed care, or leading an at-risk provider organization.

· Strong understanding of providers influenced interventions that improve total cost of care, quality metrics and population health.

Preferred Skills:

· Proven ability to lead multidisciplinary teams and drive performance improvement.

· Excellent communication, negotiation, and interpersonal skills.

· Proficiency in data analysis, EMR systems, and clinical reporting.

· Experience in at-risk medical groups within Medicaid, Dual or ACOs.

· BLS certification required.

 

Working conditions

 

This job requires the combination of remote work in a home office setting, professional office settings, and comprehensive care center environments. This role requires a dedicated, quiet workspace with the ability to adhere to HIPAA and other privacy policies. A reliable and high-speed Wi-Fi connection or home internet is required to perform the essential functions of this role.

Physical requirements

 

· Ability to communicate clearly and exchange accurate information constantly.

· Ability to remain stationary and/or stand for long periods of time.

· Constantly operates computer, keyboard, copy and fax machine, phone and other general office equipment.

 

Direct reports

Why Work at AbsoluteCare?

At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into members: people who are entitled to some of the best, most focused care this country has to offer. 

We call this “care beyond medicine.” We have turned the doctor’s office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members’ needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.

We don’t stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it works. 

Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT².

AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.

EEO Employer Verbiage: AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.