Chief Medical Officer (CMO), Optum - American Health Network (AHN) - Hybrid

Leadership Expectations

• Act as a true enterprise leader, balancing near-term execution with long-term scalability
• Provide solid, visible leadership through complexity, ambiguity, and change
• Influence across matrixed organizations without relying solely on direct authority
• Develop solid successor talent and leadership depth across operational team(s)
• Be an engaged leader who collaborates well with their team of regional leaders
• Drive proactive performance management while ensuring consistent, data-driven reporting

Key Areas of Focus

• Clinical governance and Quality: set clinical standards, evidence-based guidelines, lead peer review, credentialing support, as well as policy governance while owning metrics for quality and safety, driving towards continuous improvement and transparency
• Care Model & Operations: standardize workflows for access, panel management, care team roles and coordination of care delivered while partnering with operations to optimize templates, throughput, and overall patient experience ensuring equitable access and competent care
• Value-Based Care & Population Health: Lead risk adjustment, accurate coding, and care gap closure; optimize utilization and referral patterns; align incentives to outcomes. Ensure performance across government and commercial VBC arrangements, oversee attribution, leakage management, and high-risk cohort programs
• Clinical Informatics & EHR Optimization: chair clinical informatics governance; set priorities for EHR optimization, clinical content, decision support, and analytics; sponsor clinician training and adoption altogether. Provide direction to medical directors who lead EHR optimization workstreams that report into the CMO, ensuring consistency and data integrity
• Regulatory, Compliance & Risk: Ensure adherence to HIPAA/privacy requirements and enterprise policies; lead incident review and corrective actions; maintain survey readiness. Promote secure handling of PHI and compliance behaviors consistent with Optum standards
• Talent, Culture & Engagement: Recruit, onboard, and develop physician and APC leaders; cultivate mentorship and well-being; enhance engagement and retention. Build a high-trust culture of mutual respect with clear accountability and shared decision-making
• External & Enterprise Relationships: Represent the medical group with hospitals, community partners, and payers on clinical matters; collaborate with enterprise clinical leaders to scale best practices
• Financial Stewardship & Strategy: Provide clinical input to budgets and investments; manage productivity / access targets and affordability initiatives; assess ROI for clinical programs
• Governance & Communication: serve on executive committees / boards; deliver clear, timely communications to clinicians and stakeholders; present performance insights and actions

Primary Responsibilities

• Lead AHN's clinical strategy and represent the organization with employers, health systems, community partners, and regional stakeholders
• Strengthen AHN's market presence through relationship-building, physician networking, and strategic outreach initiatives
• Serve as AHN's senior clinical ambassador, enhancing recruitment credibility and promoting AHN's reputation across Indiana and Ohio
• Guide long-term clinical priorities, growth initiatives, referral development, and market strategy in partnership with organizational leadership
• Maintain visible leadership amongst providers to reinforce culture, trust, and clinical alignment during organizational transition. Set goals to reduce costs related to facilities, low-value care, specialty referrals, and other measures; engage providers in action planning to meet targets
• Address patient care issues identified by clinical teams and offer strategic input on specialty and primary care adequacy
• Act as a clinical liaison with the Marketing team
• Ensure adherence to all applicable clinical, operational, and regulatory requirements
• Identify and mentor high-potential lead physicians
• Lead, actively participate in and attend meetings as well as committee participation
• Tasks and duties pertinent to practicing medicine within standards of care
• Perform other related duties and responsibilities, as directed
• Contribute to the development and maintenance of a positive team-focused company culture

Required Qualifications

• A valid, unrestricted medical license in the state in which they practice and within the specialty of practice (if applicable) - or ability to obtain prior to start
• Medical Doctor (MD or DO)
• CMO - American Health Network
• Board Certification
• 5+ years of recent experience in clinical practice
• 5+ years of experience in a leadership role in a medical facility or related environment
• Experience in both managed care (value-based care) and fee-for-service based models
• Proficient computer skills, including working knowledge of Microsoft Office Suite, email systems, and web-based programs
• Proven in good standing and remain in good standing with credentialing requirements
• Proven to maintain any required clinical privileges at the hospitals used to treat patients
• Demonstrated success in value-based care (quality, risk adjustment/coding accuracy, utilization management, and patient experience)
• Proven ability to work collaboratively with a wide variety of health care professionals and staff, both in and outside of the local care delivery organization
• Proven ability to travel to all clinics in Indiana and Ohio