Chief Medical Officer, CMO - PACE (Remote)

Chief Medical Officer For Pace

This position is "remote" and will require travel within the PACE Centers geographic region and to home office in Livonia, MI.

Trinity Health is one of the largest continuing care organizations in the country, providing a full range of services to support seniors at every stage of life. Through our three national organizations offering home health, hospice, PACE and senior communities, we create vibrant living environments and deliver high-quality, compassionate care tailored to individual needs.

PACE offers seniors the option to live independently at home, while receiving the high-quality care and support they need to thrive at our PACE centers. Our approach fosters holistic wellness, addressing medical needs while enriching lives through services tailored to each participant's needs. We have 14 programs across 12 states, 26 centers with over 1000 colleagues and more than 3000 participants.

Position Purpose

The primary purpose of the Chief Medical Officer for PACE is to provide clinical leadership and oversight of all owned PACE programs as well as being available for clinical consultation with the managed programs. Responsible for clinical/medical input into strategic and operational discussions. Able to collaborate with a variety of system-level leaders in the departments of Finance, Quality, Compliance, Informatics, Coding, Claims adjudication, Education, Credentialing and Operations. Acts as an external-facing position to enhance Trinity Health's exposure and medical presence in the communities we serve.

Disclaimer: The following statements are intended to describe the general nature and level of work assigned to this position. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the individual in this position. Other duties may be assigned as deemed necessary or appropriate by management.

Leadership Competencies

As a Trinity Health Executive, the incumbent is expected to demonstrate leadership traits which support our Mission Statement and Core Values as identified below:

Mission Statement: We, Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

• Reverence: We honor the sacredness and dignity of every person.
• Commitment to Those Experiencing Poverty: We stand with and serve those who are experiencing poverty, especially those most vulnerable.
• Justice: We foster right relationships to promote the common good, including sustainability of Earth.
• Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
• Integrity: We are faithful to those we say we are.
• Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.

Vision As a mission-driven, innovative health organization, we will become a leader in improving the health of our communities and each person we serve. We will be the most trusted partner for life.

Promise Statement We Listen. We Partner. We Make it Easy.

Our Actions Listen to understand. Learn continuously. Keep it simple. Create solutions. Deliver outstanding service. Own and speak up for safety. Expect, embrace and initiate change. Demonstrate exceptional teamwork. Trust and assume goodness of intentions. Hold myself and others accountable for results. Communicate directly with respect and honesty. Serve every person with empathy, dignity and compassion. Champion health equity and the common good

Essential Functions

• Know, understand, incorporate, and demonstrate the Mission, Vision, Values and Guiding Behaviors of Trinity Health and Trinity Health PACE (TH PACE) in behaviors, practices, and decisions.
• Consistently demonstrate (leads by example) TH PACE Values to all internal and external customers (participants, visitors, volunteers, and colleagues). Create and maintain an atmosphere of warmth, propagating a calm environment throughout the office.
• Execute assignments in a culture that is shared and collaborative across all divisions within TH PACE.
• Reflects the skills knowledge and abilities serving in the role of a leader. Define and share a strategy and vision; align resources toward achievement of organization results; grow and sustain the organization; identify, lead, and embrace change.
• Establish and/or maintain, as a member of the leadership team, a plan to achieve operating goals.
• Promote and maintain collaborative relationships with managers, peers, direct reports and customers by effectively fostering a team environment, building consensus and resolving conflicts.
• Identify financial vulnerabilities and make cost containment and reduction recommendations as needed.
• Evaluate, develop, mentor, coach, counsel and discipline department staff. Supports colleagues from other departments through coaching and mentoring to help achieve the optimum standard of excellence. Addresses issues of concern through courageous conversation and notifies the department manager of any interactions requiring attention.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, TH PACE Corporate Integrity Program, Code of Ethics, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior.
• In light of a disaster will know your disaster recovery, crisis management and business continuity plans and act within your role that is developed within the business continuity plan. This may include working at another location, remotely from home, and maintaining constant contact with key personnel.
• Serve as a member of Trinity Health PACE Executive Leadership Team and be actively engaged in strategic and operating plan development.
• Communicate with Pharmacy Benefit Manager and pharmacy provider(s) as necessary to ensure high quality clinical care and standardization of pharmacy practices and decisions.
• Participate in Part D audits and development of corrective action plans.
• In collaboration with the TH PACE Clinical Pharmacist, review Milliman FWA reports as well as drug utilization reports to identify trends, observations and performance improvement plans for TH PACE as well various local Pos.
• Collaborate with Chief Nursing Officer (CNO) on creation of policies/procedures for corporate level clinical initiatives which include but is not limited to: Controlled Substance Use, End of Life Procedures, Medication Administration, Care Management Duties/expectations, Telehealth initiatives, and Provider Documentation.
• Responsible for reviewing Utilization Reports and claims data to identify trends and adverse utilization patterns. Review information with local program Medical Director(s) (MD)/ and identify and monitor utilization performance improvement plans as indicated. Establish expectations for Utilization Management (UM) meetings involving regular, structured sessions that focused on data review, policy updates, resource efficiency (over/underutilization), and improving patient care, ensuring clear roles, documented actions, and accountability for quality & cost containment.
• Educate, mentor and coach new and existing MDs at local PACE Organizations (PO).
• Actively engage in the development and implementation of the Quality Improvement and Performance Improvement process at the local POs, provides for the functioning and effectiveness of quality improvement systems and initiatives to include, but not be excluded to, internal and external operating systems that affect the delivery of care at local POs., Works in collaboration with TH PACE and local PO Quality and Improvement colleagues to ensure effective quality improvement systems and strategies are in place. Sets expectations for local MDs to oversee and actively participate in the local QI programs.
• Ensures continuity of medical care at local Pos. In the absence of a local PO MD, may be required to obtain state-specific licensure and assume MD responsibilities until a replacement is identified.
• Establishes a universal standard for the delivery of participant care across all TH PACE POs. Is the leader in the setting of physician and nurse practitioner goals and improvement plans for POs. Uses data to compare program performance to other POs.
• Leads recruitment, interviews and orientation of new Primary Care Providers across all owned POs. Work in conjunction with HR to obtaining locums providers, when needed.
• Develops relationships with local organizations, medical practices, and universities to encourage educational opportunities and provider recruitment. Participate in evaluating new providers for clinical contracting.
• Collaborate with Director of Education for Education Affiliation Agreements for medical students, residents and geriatric fellows to engage in activities within the centers.
• Act as Activity Director for all IPCE courses.
• Participates in the CORE committee, managing educational and research projects in collaboration with the Director of Education.
• Provides leadership development opportunities and sets goals and objectives for the development of key medical staff for POs. Acts as a role model for primary care providers and creates opportunities for provider understanding of business and strategic operations at the local PO.
• Provide executive leadership over the development and/or implementation of standardized clinical policies and procedures to guide clinical operations. Ensures policies and procedures support the strategic clinical objectives of the TH PACE POs.
• Work directly with TH PACE CNO in bridging the