Job Description

Summary:

The Chief Medical Officer (CMO) has accountability for the clinical strategy for Medical Affairs, Quality, and Medical Management all while building sustainable programs that promote innovative ways to achieve improved outcomes for our members. These responsibilities include care management oversight, quality/STAR rating improvements, appropriate utilization, health system transformation and implementation of medical programs/policies, enhancing relationships with providers and facilities, industry policy advocacy, and regulatory agencies. Collaborates with the Executive Leadership Team (ELT) and key contributors to drive and implement strategies to support Community’s mission and vision. The CMO will act as the external “Clinical Leader” for Community Health Choice and must be willing to travel locally and throughout the state as needed. Responsible for driving excellent results for all clinical affordability, quality, population health, growth, Net Promoter Score, and external relationship initiatives. Additional plan medical directors, pharmacy, quality, and others report to this position. The Chief Medical Officer reports to Community’s CEO.

• Education/Specialized Training/Licensure: MD Degree or DO and Licensure in the State of Texas, Completion of Residency and Board Certification in Family Medicine, Internal Medicine, Pediatrics or OB/GYN with preference for the Primary Care Specialties.

• Work Experience (Years and Area) :12 years clinical experience with 5 years of administrative experience in managed care, including management of other physicians and/or clinical staff; master’s degree in public health, business administration or medical administration.

• Management Experience (Years and Area): 5 years of administrative experience in Health plan management, including management of other physicians and/or clinical staff.

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