Community Health Choice

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Chief Medical Officer

at Community Health Choice

Posted: 3/12/2020
Job Status: Full Time
Job Reference #: 149912
Keywords:

Job Description

About Us

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Job Profile

The Chief Medical Officer (CMO) is responsible for leadership of strategic medical management activities and processes which contribute to the performance of the programs and promotes quality of care for our members. These responsibilities include development and implementation of medical programs/policies, enhancing relationships with providers and facilities, industry policy advocacy, and regulatory agencies.

The CMO acts as a key business partner in network development, product design, strategic planning, regulatory compliance and community outreach.

The CMO will act as the external Clinical Leaders for Community Health Choice and must be willing to travel locally and throughout the state as needed.

The CMO for Community Health Choice will develop, implement, support, and promote Medical Affairs strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage Additional plan medical directors, pharmacy, quality, and others report to this position. The Chief Medical Officer reports to Community’s CEO.

QUALIFICATIONS:

  • MD Degree or DO and Licensure in the State of Texas, Completion of Residency and Board Certification in Family Medicine, Internal Medicine, Pediatrics or OB/GYN with preference for the Primary Care Specialties
  • Ten years clinical experience with five years of administrative experience in Health plan management, including management of other physicians and/or clinical staff; Master's Degree in Public Health, Business Administration or Medical Administration preferred.
  • Five years of administrative experience in Health plan management, including management of other physicians and/or clinical staff;

OTHER SKILLS:

  • Exceptional Verbal communication skills
  • Writing /Composing: Correspondence/ Reports)
  • Analytical, Medical Terminology, Statistical
  • Previous Medicaid Managed Care experience working with state regulators and executing on strategic initiatives and programs preferred.
  • Strong leadership experience, strategic vision and a proven ability to execute on clinical initiatives are a must have in this position.

EMPLOYEE SUPERVISED: Medical Director’s (MDs, DOs); Pharmacy, Quality, other Program Directors and clerical staff.

Benefits and EEOC

Community employees’ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.

Community is an Equal Opportunity Employer.

Job Category

CHC Leadership/Management

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!