Deputy Chief Medical Officer

KHS•Bakersfield, CA

30d•$308,461 - $408,711

About The Position

To apply, please send your resume or CV to Jessica Davis at [email protected] . For more information, contact Jessica Davis at 949-620-6234. The Deputy Chief Medical Officer (DCMO), working under the direction of the Chief Medical Officer will provide physician executive leadership across Kern Health Systems’ clinical programs. This position will oversee the medical care delivery system, including development and implementation of strategies, programs, policies, and procedures for all medical services. The DCMO provides executive-level clinical and operational leadership to ensure high-quality, cost-effective, and culturally competent care delivery for KHS members. Serving as a key partner to the Chief Medical Officer, the DCMO has primary responsibility for comprehensive clinical oversight, including quality of care, safety, clinical effectiveness, and medical management. The DCMO will be responsible for establishing and revising standards for evaluating providers for inclusion into KHS programs and monitoring the ongoing performance of participating providers.

Requirements

Current, valid, unrestricted California Physician & Surgeon’s License with Board certification in area of specialty required
Medical Doctor degree from a fully accredited university
Five (5) years of active clinical practice experience required
Eight (8) years full-time managed care administration that includes Medicare(strongly preferred), Medi-Cal experience and NCQA required
Progressive leadership roles in managed care covering Utilization Management, Care Management, Quality Assurance
Health Care data analysis and use of data for monitoring outcomes and performance for programs and staff management
Population management and HEDIS reporting

Nice To Haves

Advance degree in management (MBAm NGSA, etc) preferred.
Knowledge in clinical data management applications preferred;
Experience with ACO, IPA or physician group management preferred

Responsibilities

Directly supervise and develop the Medical Directors and Senior director of Health Services, ensuring clinical and operational alignment with organizational goals.
Assist the CMO with oversight of the successful delivery of care and services for dual Special Needs Plan (D-SNP) members, ensuring compliance, quality, and positive member experience outcomes.
Provide leadership in MLR performance initiatives, driving cost management, efficiency, and sustainability through value-based strategies.
Collaborate with Health Services leadership in advancing population health, medical management, and provider performance.
Support the day-to-day medical care delivery system while building readiness to assume full CMO responsibilities.
Directly supervise, mentor, and evaluate Medical Directors and Senior director of Health Services.
Provides clinical leadership and works collaboratively with the directors of the other Departments of KHS to ensure compliance with the contractual and regulatory requirements.
Provide clinical support and education to the provider network in support of standards of care and evidence-based medicine and use of clinical criteria in decision management.
Assist the CMO with oversight of the D-SNP program delivery, including compliance with CMS requirements, member outcomes, and satisfaction.
Lead initiatives to achieve annual MLR targets and ensure financial stewardship of healthcare delivery.
Partner with Business Intelligence to design, monitor, and deliver actionable analytics to executives and providers.
Under direction of the CMO, ensure quality and utilization management programs meet or exceed NCQA, Medi-Cal, and Medicare standards.
Develop and lead the organization's overall quality improvement strategy and goals.
Assist the CMO with aligning QI initiatives with regulatory requirements, accreditation standards (e.g., Joint DMHC, DHCS, NCQA), and organizational priorities.
Oversee efforts to improve patient safety, clinical effectiveness, and outcomes.
Report quality outcomes and progress to executive leadership, the Board of Directors, and regulatory bodies.
Clearly communicate QI goals, progress, and results to stakeholders at all levels.
Analyze clinical data and quality reports to identify trends, gaps, and opportunities for improvement.
Promote the adoption of clinical guidelines, care pathways, and best practices.
Oversee medical care delivery system, including development and implementation of policies and procedures for medical services
Oversee the development of evidence based clinical best practices, policies, and practices
Oversee clinical data analytics, including helping train staff and providers on understanding how to analyze and use data and information
Serve as a member of the following committees of the KHS Board of Directors: EQIHEC, PAC, P&T/DUR, Quality Improvement Committee, and Grievance Committee.
Is responsible for reviewing and managing utilization of health care services at all levels of care to achieve high quality outcomes in the most cost-effective manner.
Represents KHS in the medical community and in general community public relations.
Participates in the implementation of the KHS Credentialing Program.
Responsible for Review and identification of area for improvement and provide clinical leadership in the implementation of KHS Quality Improvement Plan and the Utilization Management Plan.
Lead and/or attend and actively participate in meetings and committees as assigned by the CMO.
Launch cost-containment or value-based initiatives annually with measurable ROI.
Actively Participates as a member of the Health Services management team.
Performs duties and responsibilities identified for the Medical Director under the Quality Improvement Plan, the Utilization Management Plan.
Participates in carrying out the organization's mission, goals, objectives, and continuous quality improvement of KHS.
Represent KHS at regulatory, community, and provider forums when delegated by the CMO.
Serve as acting CMO during delegated absences, building leadership competency in executive-level responsibilities.
Participate in selection of physicians, health networks, ancillary services, and other providers to participate in KHS’s provider network