Chief Medical Officer

SCAN Health Insurance

12d•Remote

About The Position

SCAN Group is seeking an inspirational, visionary, and operationally rigorous Chief Medical Officer (CMO) to serve as the enterprise’s senior clinical leader and steward of its clinical culture. Reporting to the President of SCAN Health Plan and serving as a key member of the executive leadership team, the CMO will have group-wide responsibility for clinical strategy, medical policy, medical management, quality, and clinical performance across all SCAN Group businesses with a distinct focus on operational excellence and performance of SCAN Health Plan. This leader will be responsible not only for what care is delivered, but how care is designed, scaled, governed, and continuously improved—ensuring that SCAN’s diverse care models operate with shared principles, disciplined execution, and a relentless focus on member and patient outcomes. The ideal candidate is a nationally credible physician-executive who combines: • Deep Medicare and value-based care expertise • A track record of leading complex clinical organizations • The ability to serve as the clinical “soul” of an organization, inspiring physicians and care teams to think differently about aging, vulnerability, and care delivery Enterprise Scope and Accountability The Chief Medical Officer will provide enterprise clinical leadership and oversight across: • SCAN Health Plan: medical policy, utilization management, quality strategy, Stars performance, population health, and regulatory compliance • Healthcare in Action: clinical model evolution for complex, underserved populations • HomeBase Medical: home-based care, advanced illness, and longitudinal primary care strategies • MyPlace Health (PACE): fully integrated, capitated care delivery for dual-eligible seniors • Welcome Health: physician-led, technology-enabled care models and clinical innovation • Embrace: nursing-home based clinical care for frail and vulnerable seniors The CMO will ensure clinical coherence across these models, while respecting the unique needs of each population and operating environment.

Requirements

MD or DO with an active, unrestricted medical license (California required or ability to obtain)
Board certification in a primary care specialty (e.g., Internal Medicine, Family Medicine) or other relevant specialty
10+ years of progressive leadership experience in senior medical executive roles within Medicare Advantage, managed care, or integrated delivery systems
Demonstrated success leading medical management, quality, and population health strategies
Deep knowledge of Medicare, value-based care, utilization management, and regulatory environments
Proven ability to lead, inspire, and influence physicians and cross-functional teams

Nice To Haves

MBA, MHA, MPH, or equivalent advanced training
Experience operating across multiple care models (health plan, provider, home-based care, fully integrated systems)
National visibility or experience in policy, advocacy, or industry leadership roles

Responsibilities

Serve as the architect of SCAN Group’s enterprise clinical strategy, aligning care delivery, medical management, quality, and innovation with the organization’s mission and growth objectives.
Partner with executive leadership and the Board to define multi-year clinical priorities that improve outcomes, experience, and affordability.
Intimately understand Medicare market dynamics, regulatory requirements, and performance drivers to guide strategy, resource allocation, and market expansion.
Ensure SCAN’s care models evolve in response to emerging evidence, member needs, and policy changes.
Lead and inspire high-performing clinical leadership teams, including market Medical Directors and clinical executives across SCAN Group entities.
Deliver exceptional clinical and financial performance in shared-risk medical groups leveraging the clinical and administrative capabilities at SCAN Health Plan and the clinical subsidiaries.
Oversee utilization management, medical policy, and clinical programs to ensure ethical, compliant, and value-focused decision-making.
Drive consistent, evidence-based clinical standards while enabling local innovation and accountability.
Champion improvements in quality, safety, patient experience, and equity across all lines of business.
Serve as a visible, values-driven clinical leader who embodies SCAN’s mission and reinforces a culture centered on dignity, compassion, and excellence.
Mentor, develop, and retain physician leaders capable of operating at the intersection of medicine, management, and mission.
Define and propagate leadership competencies for Medical Directors and clinical leaders across the enterprise.
Foster an environment that encourages disciplined thinking, accountability, innovation, and continuous improvement.
Act as the clinical face of SCAN Group with providers, partners, policymakers, regulators, and the broader healthcare community.
Represent SCAN in national forums, public policy discussions, and industry leadership settings.
Build trusted relationships with provider organizations, health systems, and community partners to advance SCAN’s care models and outcomes.
Advocate for policies and practices that improve care for seniors and vulnerable populations.
Leverage data, analytics, and technology to improve clinical decision-making, care coordination, and operational efficiency.
Sponsor the prioritization and adoption of enterprise clinical tools, platforms, and vendor partnerships.
Ensure clinical innovation is scalable, measurable, and aligned with SCAN’s strategic goals.
Ensure full compliance with state and federal regulations, accreditation standards, and contractual obligations.
Promote ethical decision-making and transparency across clinical operations.
Partner with operational, legal, and compliance teams to manage risk while enabling innovation.
Use data and disciplined analysis to drive fact-based decisions and address root causes of performance variation.

Benefits

Robust Wellness Program
Generous paid-time-off (PTO) along with 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
Excellent 401(k) Retirement Saving Plan with employer match
Robust employee recognition program
Tuition reimbursement
An opportunity to become part of a team that makes a difference to our members and our community every day!
A competitive compensation and benefits program;
An annual employee bonus program;
Excellent Retirement Savings program;
A work-life balance;