The Chief Medical Officer has primary responsibility for clinical oversight and medical management while ensuring the care delivered by participating physicians and providers meet the standard for quality, timeliness, and appropriateness. He or she works in conjunction with the ACO Physicians, staff of participating hospitals, and senior management to coordinate health services for the Commercial and Medicare, Medicaid and Medicare Advantage Members contracted with the ACO.
Represents the ACO to the health plans for issues related to UM, QM, Credentialing and other provider performance issues. Additionally, the Chief Medical Officer assists the Provider Relations Staff with network development and education.
Active unrestricted MD or DO license in NY is required.
Active unrestricted Board Certification is required.
Actively practicing medicine.
3-5 years of experience in group or IPA/ACO medical management.
Excellent presentation and written communication skills. Good computer skills and good working knowledge of industry regulations including Medicare, Medicaid and Commercial HMOs. Familiarity with Medical Homes and ACOs. Has financial and budgeting knowledge and skills. Has team building skills. Able to provide cooperative leadership and direction to the staff and physician group(s).
Knowledge of Long Island market is highly preferred.
Prior Managed Care experience is highly preferred.
3 to 5 + years of experience in the health care delivery system, e.g. clinical and health care industry required, with 3-5 years additional leadership and management experience in the health care industry is a plus.
Demonstrated ability to make strategic decisions based on a thorough understanding of industry issues, trends and the regulatory landscape.
Catholic Health Services of Long Island (CHS) is an integrated health care delivery system with some of the region's finest health and human services agencies. CHS includes six hospitals, three skilled nursing facilities, a regional home nursing service, hospice and a multiservice, community-based agency for persons with special needs. Under the sponsorship of the Diocese of Rockville Centre, CHS ...serves hundreds of thousands of Long Islanders each year, providing care that extends from the beginning of life to helping people live their final years in comfort, grace and dignity