Chief Medical Officer
Columbus , OH, USA | Centene Corporation
Industry:Healthcare - Hospitals
Job Description:136 people have viewed this job
Provide medical oversight, expertise and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members.
Provide leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines.
Provide oversight and direction for staff and provider training and education.
Promote positive relations with the local medical community, including periodic consultation with providers or prescribers.
Review case management data, identifies trends and gaps in care and recommends corrective actions.
Review all quality of care issues and oversees the development and implementation of processes for improvement.
Monitor performance indicators to ensure the delivery of cost-effective care within quality standards.
Monitor member and provider satisfaction and recommends and implements changes to improve satisfaction levels.
Work collaboratively to develop corporate clinical care standards and medical practice policies.
Provide medical guidance to the Medical Management department.
Education/Experience: Medical Doctor or Doctor of Osteopathy. 7+ years of clinical experience in the practice of medicine. Management experience preferred. Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine and provides leadership in the local medical community. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is desired. Experience treating or managing care for a culturally diverse population preferred.
License/Certification: Board certification in a medical specialty recognized by the American Board of Medical Specialists. (Certification in a primary care specialty preferred.) Current state license as a MD or DO without restrictions, limitations or sanctions from government programs.
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