Chief Medical Officer - myPlace Health (PACE)

myPlace Care Partners • Los Angeles, CA

22d • $340,000 - $400,000 • Onsite

About The Position

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve. About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in California, Arizona, Nevada, New Mexico, Washington and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org , www.scanhealthplan.com , or follow us on LinkedIn ; Facebook ; and Twitter . About myPlace Health myPlace Health was founded in 2021 by mission-driven healthcare leaders and organizations that are committed to drastically improving health outcomes, quality and experience for vulnerable older adults and frail seniors. We are an integrated care delivery organization that specializes in providing personalized care and coverage to older adults who wish to remain safely living in their homes and communities for as long as possible, rather than living in a nursing facility. Our mission is simple: to enable seniors to live the independent lives they deserve. The primary ways in which we pursue our mission are through capitated arrangements with government payers, such as Medicare and Medicaid under the PACE (Program of All-Inclusive Care for the Elderly) model, and as a value-based provider working in partnership with local health plans. We are building a mission-driven team that shares our passion for redefining the way older adults experience care as they “age in place” in the community. This is a unique opportunity to take on one of our country’s most challenging healthcare problems and it is a unique moment in time to join us as we scale up to spread our mission across markets. The Job As a Chief Medical Officer (CMO), you will play an integral leadership role for the interdisciplinary care teams to achieve our mission of enabling seniors to live the independent lives they deserve. You will work closely with and oversee care teams across the assigned region to provide high quality care and deliver an outstanding experience to all participants. The CMO is responsible for oversight of clinical operations and is the accountable medical leader for health outcomes and quality results delivered within the assigned market(s). The CMO is ultimately responsible for the delivery and quality of participant care, for clinical outcomes, and for the implementation, as well as oversight, of the quality improvement program for the centers and region. Along with oversight for the interdisciplinary care teams (IDTs) across the region, this leader will provide direct patient care and coach IDT team members to ensure that the highest quality care is delivered to our participants. The CMO will also play a critical external-facing role in engaging with our provider network partners, community-based organization partners, and corporate sponsors.

Requirements

• Passion and mission orientation for serving high-risk seniors and frail older adults
• Thrives in a fast-paced environment and a culture that values collaborative, team-based approach
• Brings a patient-centered mindset, focusing on what matters most to the patient and enabling patients to reach their care goals
• MD or DO required; active board certification in geriatrics, complex care, home-based care, palliative care, internal medicine, or other related clinical area (with continued certification throughout employment)
• Previous experience in a PACE model or similar capitated, value-based care, or integrated care environment
• Ten or more years practice of medicine with a minimum of five years working with an elderly or frail population
• Current, unrestricted medical license in the appropriate state(s) assigned
• Current DEA certificate with continued licensure throughout employment
• Up to date immunizations records
• Ability to be 100% physically present in the assigned markets at the care centers, in the community, or in our participants’ homes on an as needed basis

Nice To Haves

• Bilingual preferred (English and Spanish)

Responsibilities

• Quality and Clinical Utilization Leadership Serve as the accountable Chief clinical executive that owns the overall quality and health outcomes of the assigned region while ensuring that we operate with high fidelity to our model of care
• Oversee the regional development and implementation of the Quality Improvement and Performance Improvement Program (QAPI) in collaboration with other key leaders and staff assigned
• Monitor regional clinical utilization trends and guide teams to create appropriate intervention strategies
• Collaborate with Medical Directors on the development of interventions to support optimum health of participants including functional and quality of life, participant, and caregiver satisfaction through the efficient use of program resources and achievement of program goals
• Develop a provider after hours strategy and approach for on-call arrangements to ensure 24- hour provider availability with consideration of participant and provider satisfaction
• Provide consultation and support for Medical Directors regarding grievances, appeals, and IDT decision making processes
• Actively monitor and digest current literature and best practices to make recommendations on changes to clinical pathways, policies, and processes as appropriate
• Promote professional development of PACE primary care staff via regular group meetings, one on one sessions, and other strategies
• Participate on the Quality Committee and other committees or workgroups as needed
• Clinical Leadership Build a best-in-class culture of engaged care teams where doing what matters most to the patient drives care plans
• Attract, coach, and develop clinical and non-clinical teams under the principles of our PACE model
• Partner with the local and national operating leaders to implement the care model, prioritize how we build required capabilities, and evolve those capabilities over time
• Oversee the work of IDT and other clinical leaders to ensure that evidence-based, high-quality, cost-effective care is provided to PACE program participants in accordance with the PACE program mission, current standards of medical practice, applicable regulatory requirements
• Provide direct medical care to PACE participants, including the evaluation, diagnosis, documentation, and management of their medical conditions
• For new markets and markets in staff transition, serve as the interim Medical Director including managing a patient panel on as needed basis
• External Leadership Serve as the main external clinical voice of the organization to major health system partners, medical network partners, community-based organizations, and corporate sponsors in the assigned market(s)
• Lead relationships with community physicians and other providers to promote effective working relationships that reinforce our care model
• Actively participate in community outreach, marketing, and activities that promote membership growth and referrals
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Benefits

• Base Pay Range: $340,000-$400,000, Salary
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 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!

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: Ph.D. or professional degree