Chief Medical Officer - Community Plan of Idaho - Remote

Lensa; Idaho Falls (ID); Remote; USD 343,000 - 517,000; Full time

Job summary

A leading healthcare organization is seeking a Chief Medical Officer for the Community Plan of Idaho. This role involves driving clinical excellence, overseeing quality improvement, and developing partnerships with healthcare providers. The position allows for remote work flexibility for Idaho residents and focuses on health equity and system transformation. Candidates must be Idaho licensed physicians with significant clinical and leadership experience.

Benefits

Comprehensive benefits packages

Incentives

Stock options

401k

Qualifications

• 5+ years clinical practice experience.
• 2+ years in Quality management.

Responsibilities

• Oversee Total Medical PMPM performance and collaborate with clinical operations.
• Drive quality improvement strategies and lead clinical committees.
• Identify improvement opportunities via market reviews.

Skills

Leadership

Communication

Project Management

Data Analysis

Strategic Thinking

Education

Board Certified in an ABMS or AOBMS specialty

Idaho licensed physician

Tools

Microsoft Office

Job description

Chief Medical Officer - Community Plan of Idaho - Remote

2 days ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people. Join us to build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Community Plan of Idaho Chief Medical Officer (CMO) is accountable for driving clinical excellence aligned with state regulations and community health priorities. The CMO will partner with local health plan leaders and enterprise clinical operations, overseeing quality improvement, inpatient and outpatient utilization, affordability, growth, regulatory compliance, and health system transformation. The role involves developing strong partnerships with local healthcare providers and working closely with clinical leadership to implement programs for populations with complex social determinants of health (SDOH) and behavioral health needs.

This position requires multitasking, attention to detail, and organizational skills in a fast-paced environment. If you reside in Idaho, you’ll have the flexibility to work remotely while tackling significant challenges.

Primary Responsibilities

1. Quality and Affordability – Responsible for Total Medical PMPM performance, collaborating with clinical operations, behavioral health solutions, and affordability teams to meet utilization and cost goals. Includes overseeing clinical models, participating in hospital committees, sharing data, and implementing affordability initiatives.
2. Clinical Excellence – Oversee data collection for HEDIS and CMS Stars, drive quality improvement strategies, and lead clinical committees. Accountable for quality performance indicators and clinical model oversight.
3. Relationship Equity and State Compliance – Maintain knowledge of Idaho mandates, collaborate externally with regulators, providers, and community organizations, and serve as the outward face to state regulators, providing clinical leadership.
4. Health Equity – Lead strategies to identify and address disparities in health outcomes, supporting health equity initiatives.
5. Innovation – Drive health system transformation through quality improvement, provider incentives, and engagement with innovative care models like patient-centered medical homes and accountable care organizations.
6. Growth – Support growth by emphasizing quality, affordability, and service, and represent the clinical voice in program design and regulatory relations.
7. Focused Improvement – Identify improvement opportunities via market reviews and oversee utilization management and shared services teams.
8. Grievances and Appeals – Liaise with appeals teams and represent the health plan at state-level hearings.

You’ll be rewarded for your performance in a challenging environment that offers clear success pathways and development opportunities.

Required Qualifications

• Idaho licensed physician, active and unrestricted; Board Certified in an ABMS or AOBMS specialty
• 5+ years clinical practice experience
• 2+ years in Quality management
• Knowledge of managed care, Medicaid, Medicare, and LTSS populations
• Leadership skills demonstrated through results and team building
• Experience with health equity and underserved communities
• Excellent communication and presentation skills
• Relationship development with providers
• Project management, data analysis, and strategic thinking skills
• Proficiency with Microsoft Office
• Reside in Idaho

Preferred Qualifications

• Bilingual in English and Spanish
• Experience with Idaho Department of Health and Welfare
• Leadership in Idaho medical associations
• Residence in Boise area

Salary range: $343,500 - $516,500 annually, based on experience and metrics. Benefits include comprehensive packages, incentives, stock options, and 401k. UnitedHealth Group is committed to diversity, equity, and inclusion, and is an equal opportunity employer. Must pass a drug test prior to employment.