Chief Medical Officer - Delaware
Company: Delaware First Health
Posted on: November 22, 2022
Centene is transforming the health of our communities one person
at a time. As an Executive on our team, you could be the one who
changes everything for our 26 million members. Position Purpose:
Provide medical oversight, expertise and leadership to ensure the
delivery of cost effective, quality healthcare services to health
plan members.This person shall provide oversight and management of
the clinical, QM/QI, and utilization management functions of the
Contractor, including oversight and consultation with clinical care
coordinators and case managers and oversight of coordination with
State agencies.Provide leadership and expertise in the development,
implementation and interpretation of medical review and quality
related policies and guidelines.
Provide oversight and direction for staff and provider training and
Promote positive relations with the local medical community,
including periodic consultation with providers or prescribers.
Review case management data, identifies trends and gaps in care and
recommends corrective actions.
Review all quality of care issues and oversees the development and
implementation of processes for improvement.
Monitor performance indicators to ensure the delivery of
cost-effective care within quality standards.
Monitor member and provider satisfaction and recommends and
implements changes to improve satisfaction levels.
Work collaboratively to develop corporate clinical care standards
and medical practice policies.
Provide medical guidance to the Medical Management
department.Education/Experience:Medical Doctor or Doctor of
Osteopathy. 7+ years of clinical experience in the practice of
medicine. Management experience preferred. Utilization Management
experience and knowledge of quality accreditation standards
preferred.Actively practices medicine and provides leadership in
the local medical community. Course work in the areas of Health
Administration, Health Financing, Insurance, and/or Personnel
Management is desired. Experience treating or managing care for a
culturally diverse population preferred.License/Certification:Board
certification in a medical specialty recognized by the American
Board of Medical Specialists.Current Delaware state license as a MD
or DO without restrictions, limitations or sanctions from
government programs. Our Comprehensive Benefits Package: Flexible
work solutions including remote options, hybrid work schedules and
dress flexibility, Competitive pay, Paid time off including
holidays, Health insurance coverage for you and your dependents,
401(k) and stock purchase plans, Tuition reimbursement and
best-in-class training and development. Centene is an equal
opportunity employer that is committed to diversity, and values the
ways in which we are different. All qualified applicants will
receive consideration for employment without regard to race, color,
religion, sex, sexual orientation, gender identity, national
origin, disability, veteran status, or other characteristic
protected by applicable law.
Keywords: Delaware First Health, Newark , Chief Medical Officer - Delaware, Executive , Newark, Delaware
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