Market Chief Medical Officer (CMO)
Confidential
Market Chief Medical Officer (CMO)
About the Company
Distinguished healthcare solutions provider assisting chronically ill patients
Industry
Hospital & Health Care
Type
Non Profit
Founded
1996
Employees
10,001+
Categories
- Health Care
- Information Technology
Specialties
- medicaid managed care
- behavioral health care services
- medicare advantage snp
- pharmacy benefits management
- specialty pharmacy
- and long term services and supports
Business Classifications
- B2C
About the Role
The Company is seeking a Market Chief Medical Officer to provide clinical leadership and guide the development and execution of initiatives that improve care quality and affordability. The role oversees medical management, utilization management, quality governance, medical policy, and regulatory compliance, while supporting provider network quality, access, and adequacy. The CMO collaborates across clinical and operational functions and serves as a physician-level contact for regulatory engagement. The position also builds partnerships with providers, health systems, community networks, and other stakeholders to advance clinical excellence and cost-efficient care. Candidates must have at least five years of active clinical practice in a medical specialty and five years of progressive leadership experience in medical management. Experience leading clinical, quality, and operational teams, working across Medicaid, Medicare, and ACA or Exchange programs, and applying quality improvement methods is required; managed-care Medical Director or CMO experience is preferred. An active, unrestricted Pennsylvania medical license is required. Applicants should bring strong strategic decision-making, analytical, communication, and relationship-building skills, along with knowledge of diverse, low-income populations and the ability to use data and technology to improve clinical and operational performance.
Hiring Manager Title
CHC Market President/CEO
Functions
- Medical Care/Hospital Administration
Vacancy posted 2 days ago
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