Remote Chief Medical Officer: Health Plan Leadership

Presbyterian Healthcare Services; Albuquerque (NM); Hybride; USD 250 000 - 350 000; Plein temps

Avantages offerts par ce poste

Full medical, dental, and vision

Flexible spending accounts

Paid time off

Retirement plans

Continuing education opportunities

Résumé du poste

Presbyterian Healthcare Services in Albuquerque is seeking a Chief Medical Officer to provide clinical leadership for their health plan. This role involves guiding medical policy, overseeing utilization management, and representing the health plan publicly with medical professionals.

Applicants should have an MD or DO, board certification, and significant experience in clinical leadership. Competitive salaries and benefits are offered, including medical and retirement plans.

Qualifications

• 10+ years of relevant clinical and healthcare leadership experience.
• Experience with medical necessity review, appeals, and clinical criteria.
• Strong physician leadership and executive communication skills.

Responsabilités

• Lead all Medical Directors and UM staff members.
• Ensure medical necessity decisions are evidence-based and timely.
• Provide clinical guidance for complex case management.

Connaissances

Clinical leadership

Utilization management

Medical policy expertise

Physician engagement

Quality improvement

Communication skills

Business acumen

Formation

MD or DO

Board certification

Description du poste

Presbyterian Healthcare Services in Albuquerque is seeking a Chief Medical Officer to provide clinical leadership for their health plan. This role involves guiding medical policy, overseeing utilization management, and representing the health plan publicly with medical professionals.

Applicants should have an MD or DO, board certification, and significant experience in clinical leadership. Competitive salaries and benefits are offered, including medical and retirement plans.