Chief Marketing Officer
- Philadelphia, PA
What you'll be doing
- Provides clinical leadership to the health plan, accountable for clinical outcomes of the plan. Ensures the organization delivers safe, high quality and efficient care for organizations members, as measured by clinical outcomes and quality measures. Serves as primary expert on clinical delivery, representing the clinical perspective within leadership and the organization. Interacts, communicates and collaborates with network and community physicians, hospital leaders and other vendors regarding clinical care and services for enrollees. Directs weekly team meetings and interdisciplinary rounds for communication, feedback, problem solving, staff training and development and sharing of program results. Leads health plan provider advisory councils and quality review committees. Develops and monitors utilization reports by product line, identifying changes in utilization or access patterns and monitor overall trends on a weekly basis. Designs and implements health programs that improve the health of the company members and subsequently reduce clinical cost, partnering with internal program leads and with external provider partners. Leads internal teams in the tracking and management of clinical affordability programs. Oversees all quality efforts, including HEDIS data collection process, CAHPS and accreditation activities.
What your background should be
- Minimum 5+ years of experience in Medicare government programs or Medicare fee for services highly preferred. Demonstrated leadership ability and outcomes in a complex or large organizational setting. Current and non-restricted licensed physician. Demonstrated accomplishments in the areas of medical care delivery systems, utilization management, quality management, and peer review. Strong operational focus with demonstrated data analysis/interpretation acumen, project management, change management, and execution skills. Proven ability to quickly gain credibility, influence and partner with employees, business leaders and the clinical community. Excellent presentation skills for both clinical and nonclinical audiences.
Required Schooling / Training
- Not specified
Who is the client company
- This is a diversified health care company that serves the markets for health benefits and services worldwide.
- If you are interested in this position, send your resume to email@example.com