Regional Vice President/Chief Medical Officer - South Carolina Medicaid - Remote

Overview

The Regional VP/CMO Medicaid relies on medical background to create and oversee clinical strategy for the region, providing medical leadership and strategy for Health Services Operations with fiscal responsibility.

In Short

• Oversee regional utilization management and case management for inpatient cases.
• Participate in Quality Operations and chair the Quality Management Committee.
• Manage administrative budget for regional HSO & Quality Improvement.
• Oversee Quality Improvement and HEDIS/STARS metrics improvement.
• Participate in regional level committees setting medical necessity strategies.
• Provide oversight for the implementation of regional clinical programs.
• Assist with network development and provider contracting.
• Serve as clinical liaison with inpatient facilities.
• Manage internal operational/functional relationships for profitability.
• Thrive in a highly matrix environment.

Requirements

• Must reside in or be willing to relocate to South Carolina.
• 8 or more years of management experience.
• A current and unrestricted license in at least one jurisdiction.
• MD or DO degree.
• Board Certified in an approved ABMS Medical Specialty.
• Excellent communication skills.
• 5 years of established clinical experience.
• Knowledge of the managed care industry.
• Analysis and interpretation skills.
• Passionate about improving consumer experiences.

Benefits

• Competitive medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off and company holidays.
• Volunteer time off.
• Paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.
• Opportunities for personal wellness.
• Support for smart healthcare decisions.
• Focus on whole-person well-being.