Remote Chief Medical Officer: Clinical Strategy & UM

0100 PHP Administrative; United States; Remote; USD 250,000 - 350,000; Full time

Benefits offered by this job

Competitive salaries

Full medical, dental and vision

Flexible spending accounts

Paid time off

Retirement plans

Continuing education opportunities

Life insurance programs

Job summary

Presbyterian Healthcare Services is seeking a Chief Medical Officer (CMO) to lead clinical leadership and medical policy strategies within the organization. The CMO will oversee utilization management decisions, clinical governance, and provide guidance for medical policy and practice changes while collaborating with various healthcare leaders.

The ideal candidate will possess an MD or DO, with an active New Mexico license, and hold extensive experience in healthcare leadership and utilization

Qualifications

• 10 or more years of relevant clinical and healthcare leadership experience.
• Experience in managed care, medical necessity review, and regulatory requirements.
• Strong physician leadership and influence skills.

Responsibilities

• Serve as the health plan’s senior clinical representative.
• Lead all Medical Directors and UM staff members including clinicians.
• Advise executive leadership on clinical risk and medical cost drivers.

Skills

Clinical Leadership

Medical Policy

Utilization Management

Executive Communication

Business Acumen

Stakeholder Engagement

Education

MD or DO from an accredited medical school

Board Certification

Active, unrestricted medical license – New Mexico

Job description

Presbyterian Healthcare Services is seeking a Chief Medical Officer (CMO) to lead clinical leadership and medical policy strategies within the organization. The CMO will oversee utilization management decisions, clinical governance, and provide guidance for medical policy and practice changes while collaborating with various healthcare leaders.

The ideal candidate will possess an MD or DO, with an active New Mexico license, and hold extensive experience in healthcare leadership and utilization