Chief Medical Officer - myPlace Health (PACE)

SCAN Health Insurance • Los Angeles, CA

23d • Onsite

About The Position

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
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Benefits

• Salary plus Bonus Opportunity
• 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