Chief Medical Officer

Qualifications

• MD or DO without restrictions
• Board Certified Physician
• New York license
• Willingness for weekly in-office engagement in our Long Island City location

  Position Purpose

  Provide medical oversight, expertise and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members.

  • Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations.
  • 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 (MD) or Doctor of Osteopathy required.
  • 7+ years clinical experience in the practice of medicine required.
  • Management experience preferred.
  • Utilization Management experience and knowledge of quality accreditation standards preferred.
  • Actively practices medicine and provides leadership in the local medical community preferred.
  • Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management preferred.
  • Experience treating or managing care for a culturally diverse population preferred.
  • Board certification in a medical specialty recognized by the American Board of Medical Specialists required.
  • Certification in a primary care specialty preferred.
  • New York state license as a MD or DO without restrictions, limitations or sanctions from government programs required.

  Benefits

  Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.