• Chief Medical Officer

    Req No.
    2019-4083
    Company
    Community Care Collaborative
    Job Locations
    US-TX-Austin
    Category
    Administrative
    Type
    Regular Full-Time
  • Overview

    The Chief Medical Officer will provide clinical leadership and direct oversight of Central Health’s clinical practice of medicine, nursing, pharmacy and social work. The CMO will directly supervise the medical, nursing, case management, utilization management, pharmacy and quality functions of Central Health, associated staff and others as assigned. In collaboration with Central Health executives and Enterprise leaders, the CMO will lead and/or participate in the planning, implementation and ongoing management of clinical operations including the development of population health management strategies and new strategic clinical initiatives. Responsibilities for this position including promoting a culture of high quality care with a focus on overall value, clinical outcomes, and improving the health of Central Health’s covered population and developing and maintaining clinical system functionalities to support effective and efficient services to patients. The CMO will have direct involvement in the medical committee functions of Central Health and its P&T, credentialing, quality, and clinical service line subcommittees. Responsibilities include identifying and mitigating risks, using data-driven approaches to identify gaps and prioritize initiatives, serving as a strategic thinking partner within teams, and collaborating with and maintaining sustainable relationships with Central Health, Enterprise, and community partners and providers. This position will work closely with operations, strategy, contracting, legal, privacy, compliance, HR and IT departments as well as Enterprise clinical and operations leadership. Provide and/or oversee the delivery of primary and ancillary care to patients as needed. Develop and deliver effective public presentations to Central Health Board of Managers committees, board meetings, stakeholders and partners, and the general public. Responsibilities include direct and indirect supervision of all Central Health clinical staff and non-clinical employees assigned to the CMO’s department and others as assigned.

    Responsibilities

    Essential Duties:

    • Perform under general guidance and minimal supervision with accountability for specific organizational-level goals
    • Align clinical resources to organizational goals and objectives to optimize the health of the covered population and improve clinical outcomes, patient experience and costs of care throughout the delivery system
    • Lead and/or participate in the development, deployment and management of effective and efficient clinical services to Central Health’s covered population through a variety of methods including contracted services, clinical services oversight, clinical support infrastructure development and oversight of direct service delivery
    • Serve in a leadership capacity on Central Health’s medical committee and/or medical executive committee as assigned including responsibility for medical staff governance and bylaws, pharmacy and therapeutics, network credentialing, privileging and other sub-committee functions of the medical committee
    • Collaborate with others to build systems of care that provide adequate access to high quality care that meets or exceeds community clinical priorities and standards of care
    • Lead the development and implementation of an effective and efficient system-wide care management and social work infrastructure that emphasizes improved care outcomes, transitions of care, appropriateness of care and reduction of waste
    • Lead the development of the system healthcare quality metric set that Central Health will use to ascertain system performance as it pertains to health outcomes, patient experience and cost of care and the processes used to improve outcomes across all provider entities
    • Maintain effective quality management programs focused on continuous improvement of medical care to the covered population in collaboration with contracted providers
    • Participate in the planning and development of Central Health’s local indigent coverage plan structures and service offerings with an emphasis on population health management, medical necessity and the most effective use of limited resources
    • Serve as a liaison to various stakeholders including partner agencies, community healthcare providers, governing bodies, elected officials, public engagements, media outlets and others as required
    • Represent Central Health and its healthcare delivery vision, mission and goals to internal and external stakeholders, the public, and the media, as required
    • Develop and maintain collaborative working relationships that promote a positive image for Central Health with Enterprise affiliates, contracted providers, the local provider community, elected officials, regulatory agencies, governing bodies, patients and the community, as appropriate.
    • Monitor actual to budget variances for assigned departments, initiatives and areas of responsibility and implement appropriate corrective action plans to achieve budgeted financial results
    • Develop and maintain a culture of collaboration, courtesy, customer service and professionalism
    • Shall provide medical care as necessary under the direction and supervision of Central Health’s medical executive committee
    • Directly supervise and lead employees practicing medicine, nursing, pharmacy and social work and other clinical positions in accordance with applicable laws and regulations
    • Implement policies, operational processes and controls that build a culture of service excellence, continuous improvement, high value care and compliance with applicable laws and regulations
    • Works cooperatively with the legal department and compliance departments to comply with applicable laws, regulations, policies, procedures and Central Health benefit plan rules
    • Coach employees throughout the organization on best practices in clinical service delivery operations
    • Use problem solving, leadership, conflict management, and team building skills to ensure a productive work environment and achievement of goals
    • Research, apply and promote clinical best practices and recommend opportunities for improvement
    • May supervise other staff as assigned
    • Perform other duties as assigned

     

    Knowledge/Skills/Abilities:

    • Ability to lead a team of professionals in the achievement of specific goals
    • Ability to thrive in a complex and dynamic work environment with multidisciplinary, cross-functional teams and matrixed team structures
    • Demonstrated ability to manage and prioritize multiple complex projects with varying deadlines and limited resources
    • Ability to teach, coach and mentor subordinates, peers and supervisors to effectively understand clinical services delivery and interact with clinical functions and assigned staff
    • Ability to apply critical thinking to generate and assess potential solutions and to anticipate needs in advance
    • Ability to manage competing objectives in an ambiguous, fast-moving environment to achieve results
    • Knowledge of best practice and industry standards for practice of medicine, healthcare quality, pharmacy affairs, safety-net healthcare, and local provider community dynamics
    • Knowledge of laws and regulations concerning county indigent healthcare programs, practice of medicine and Central Health policies
    • Knowledge of data, measurement concepts, measurement tools and systems used to monitor and report clinical quality metrics and other healthcare outcomes
    • Exceptional interpersonal skills with ability to interface effectively internally and externally with a wide range of people including board members, colleagues, physicians, healthcare executives, elected officials, media, community organizations and assigned staff
    • Compliance with data confidentiality and security procedures
    • Ability to manage employees and interact with colleagues in a respectful, supportive fashion which encourages employee’s personal and professional growth
    • High level skill at building relationships within the organization and with external partners
    • Able to balance a customer-oriented and results-driven approach
    • Able to persuade others to approach topics and ideas differently
    • Strong attention to detail and accuracy
    • Excellent verbal and written communications skills
    • Ability to communicate complex ideas clearly and effectively through both writing and speaking
    • Experience with electronic medical records and healthcare-derived data and a working knowledge of the laws and regulations that govern the same
    • Demonstrated ability to perform complex operations in Microsoft Office Suite

    People Management/Department Management/Business Unit Management:

    • Supports, leads and models the vision, mission and values of Central Health
    • Supervises and manages, either directly or indirectly, all case management, pharmacy, physician and nursing staff and contractors and others as assigned
    • Serves as a leader across the organization and the Enterprise for activities impacting clinical services and service delivery functions
    • Develops and maintains working relationships with Central Health colleagues that promote a desirable workplace and a culture of collaboration, professionalism and respect
    • Maintains a productive and motivated workforce through effective hiring, training, professional development, delegation and employee interaction
    • Leads complex organizational change efforts
    • Responds in timely manner to needs and concerns of colleagues, providers, patients, staff and other stakeholders
    • Directs, supports, develops, coaches and acknowledges direct reports and department staff
    • Supervises the practice of medicine, nursing, pharmacy and social work in accordance with applicable laws and regulations
    • Performs objective annual evaluations of all direct reports
    • Adheres to all local, state and federal laws and regulations and Central Health policies

    Qualifications

    MINIMUM EDUCATION: M.D. or D.O. from an accredited educational institution


    MINIMUM EXPERIENCE:
    • 5+ years of related experience
    • 2+ years in a supervisory role
    • 10+ years of progressive experience in a healthcare delivery system, hospital setting or related healthcare field

     

    REQUIRED CERTIFICATIONS/LICENSURE: Board certification in area of specialty; unrestricted license to practice medicine in the State of Texas or ability to obtain in a mutually agreed upon timeframe

     

    REQUIRED COURSES/COMPLETIONS (e.g., CPR): Current Healthcare Provider Cardiopulmonary Resuscitation (CPR) course completion card; Current Basic Life Support Certification for Healthcare Providers

     

     

    PREFERRED EDUCATION: Master’s degree or advanced degree in business, public health, healthcare administration or related field

     

    PREFERRED EXPERIENCE: Ideal candidate will have 10+ years of combined patient care in a safety net healthcare system and administrative leadership experience through a variety of related organizations including ACOs, care collaboratives, health plans, healthcare districts, public health departments, FQHCs, hospitals, and physician groups. Ideal candidate will also have experience working on multidisciplinary teams in a matrixed reporting structure.


    PREFERRED CERTIFICATIONS/LICENSURE: Current Drug Enforcement Agency (DEA) and Department of Public Safety (DPS) registrations for the purpose of writing prescriptions

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