Chief Medical Officer, Regional Operations

Lumeris

1d•Remote

About The Position

Be a key leader within the Lumeris Clinical Team, driving how population health and value-based care come to life across our provider partnerships. In this role, you’ll serve as the clinical lead for Lumeris’ innovative Provider Population Health Services Organization (PHSO), working side-by-side with health systems and physician groups to transform how care is delivered. You’ll collaborate across a dynamic, entrepreneurial organization to shape clinical operations, physician engagement, and care model design, using data, strategy, and clinical insight to improve outcomes, performance, and patient experience. This is an opportunity to influence real change; helping providers move from traditional care models to smarter, more sustainable population health strategies.

Requirements

MD. or D.O. degree, plus Board Certification
Current, unrestricted medical license
15+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role
7+ years of people, program, or project leadership experience or the knowledge, skills, and abilities to succeed in the role
5+ years of successful clinical practice experience
3+ years of health system, health plan or capitated provider experience with exposure to managing total cost of care, quality, and documentation and coding
Deep understanding of population health & managed care
Strong background in administrative clinical leadership
Solid understanding and experience with population health management strategies
Knowledge of healthcare financing and the relation to various managed care products (HMO, PPO, Indemnity, and Medicare Advantage)
Knowledge of continuous quality improvement theory and practice
Excellent communication and problem-solving skills
Demonstrated track record of building productive working relationships internally and externally at all levels
Proven ability to positively impact results

Nice To Haves

MBA or Master's Degree in healthcare or other related field
Prior operational consulting experience
Government sector experience (Medicare or Medicaid products)

Responsibilities

Provides clinical leadership in the development, organization and governance of a clinically integrated network (CIN) of physicians or Population Health Services Organization.
Responsible for directing the improvement of clinical, quality, and financial outcomes for the operating partnerships.
Provides change management expertise in health systems, provider organizations, and physician practices.
Participates in the alignment of physician incentives, quality measures, and value-based contracts.
Maintains strong relationships with Provider PHSO Medical Directors and clinical leaders at partnering organizations.
Directs and monitors medical management activities and quality management programs as needed to maintain compliance with CMS, NCQA and other accrediting bodies.
Collaborates with the Provider Engagement team to move physician offices to accountable care model.
Collaborates with the Corporate Chief Medical Officer (CCMO) on clinical strategy, design and approach, facilitating communications, and managing risk on engagements.
Acts as an internal consultant on clinical program development and special projects for Lumeris customers.
Participates in ongoing product development activities related to Lumeris technologies and services.
Provides timely communications and progress reports regarding Lumeris activities and external client status.
Provides support to the Accountable Delivery Systems Institute as needed on matters relating to accountable care, physician engagement/alignment, payer and clinical transformation, and the use of top technology in support of the new models of care.
Participates in business development meetings with prospective clients to present the Lumeris value proposition.
Supports the Lumeris Advisory Services team in content development and supporting the delivery of V2Vs.
Contributes to the Clinical thought leadership of the organization through presentations, case studies and scientific articles.