Chief medical officer job description

▪In compliance with the CMS IFR, all NSO employees are required to be fully vaccinated against COVID-19 or qualify for a medical or religious exemption that NSO can reasonably accommodate.

▪ This position may be required to travel between all NSO locations as needed.

▪ Will have some physical contact with patients.

▪ Occasionally works in a medical clinical setting; uses a computer, telephone and other office equipment as needed, to perform duties.

▪ Works in an office environment as needed and uses a computer, telephone and other office equipment as needed, to perform duties. The noise level in the work environment is typical of that of an office with frequent contact with customers.

▪ When in clinical locations the noise level in the work environment is variable, due to frequent contact with consumers.

▪ Manual dexterity and regular fine-finger and hand/wrist motions are required for performing medical procedures in addition to operating a keyboard, writing and filing.

▪ Seeing/vision, talking/speaking and listening/hearing are continuously required.

▪ Frequently required to stand during working hours. Required to sit, walk or drive as needed

▪ Operates an automobile while performing assigned job duties, if required.

▪ May have potential exposure to infectious agents, via airborne, blood and/or bodily fluids during clinical work or due to medical emergencies.

▪ PPE to be provided for protection.

DISCLAIMER MESSAGE : The above elements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities and duties of personnel so classified, or a contractual commitment, and NSO retains the right to amend or revise this job description at any time.

NSO is an Equal Opportunity Employer and is committed to excellence through diversity and considers candidates without regard to sex (including pregnancy related conditions) genetic information, race, color, weight, height, religion, national origin, citizenship, age, disability, martial or veteran status, misdemeanor arrest record, sexual orientation, transgender status or gender identity or any other legally protected status.

Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.

The Market Chief Medical Officer reports directly to the Enterprise Physician Vice President of Population Health Medical Services and has a dotted line reporting relationship to the Market President. The position is responsible for market-based clinical leadership and execution of all health care affordability and clinical quality operations and initiatives to achieve strategic goals. The Market CMO is accountable for ACFC quality initiatives to improve HEDIS and other quality ratings and collaborates with the local provider community and state regulatory agencies to improve care. The Market Chief Medical Officer is a seasoned professional who faces outward to and interacts with the Plan's membership and physician community, physician and health system networks, medical/physician professional associations, government representatives, and advocacy groups to advance clinical excellence and the delivery of cost efficient care.

Pennsylvania's Community HealthChoices serves adults over the age of 21 who qualify for both Medicare and Medicaid and/or qualify for long-term services and supports (LTSS) in either the community or in a nursing facility. All Participants receiving LTSS are assigned a Service Coordinator, which is an administrative function of the Plan. Participants receiving LTSS are assessed at least annually and a person-centered service plan is developed to meet unmet needs, some of which are related to social determinant of health. Collaboration with D-SNPs serving the Participants aids in identifying and remediating risk factors that lead to hospitalization and institutionalization. The Community HealthChoices program is an opportunity to holistically serve the Participants and maximize independence in the community.

Education/ Experience :

• MD or DO.
• Must have five to ten years practice experience.
• Minimum five years practice experience in his/her area of specialty (Internal Medicine, Family Practice, Medical or Surgical specialties, and Geriatrics experience preferred)
• A minimum of five (5) years of progressive medical management and general management experience in a managed care environment is preferred.
• Board Certified Physician
• An unrestricted license to practice medicine in Pennsylvania
• Successful candidates will have LTSS or MCO plan experience
• Proven ability to be strategic

Please note: Position may be remote but will require travel to PA offices as needed to conduct State or Market business.

• Must have and maintain current MD license in Washington, DC.
• Degree in medicine from an accredited school required.
• Current DEA and CDS Licenses.
• 10+ years of clinical experience in ambulatory care setting with some contact with homeless patients.
• 4+ years of experience in a middle management or executive role.

• Knowledge of nursing and medical theory and practice.
• Remain abreast of the latest developments in healthcare.
• Ability to lead standardization of care.
• Possess knowledge and understanding of management principles and practices.
• Possess knowledge of budget, accounting, procurement, inventory systems, and personnel.

The Chief Medical Officer reports to the President / Chief Executive Officer.

GUIDELINES

The position abides by all rules and regulations set forth by applicable licensing and regulatory bodies, as well as UHC and DOC policies and procedures.

PERSONAL CONTACTS

The position requires contact with staff at all levels throughout the organization. There are also external organization relationships that may be a part of the work of this individual.

PHYSICAL DEMANDS

Refer to ADA requirements.

WORK ENVIRONMENT

Refer to ADA requirements.

OTHER SIGNIFICANT FACTS

Although the position is assigned a specific shift this position may be assigned alternate shifts to address the needs of Unity Health Care.

RISKS

The position involves everyday risk and discomforts, which require normal safety precautions typical of such places as offices, meetings, training rooms, and other UHC health Care Sites. The work area is adequately lit, heated, and ventilated. The position requires contact with staff at all levels throughout the organization. There are also external organization relationships that may be a part of the work of this individual. All medical services shall be provided according to medically accepted community standards of care. The employee shall provide evidence of a recent (within the past twelve (12) months) health assessment that includes a PPD and/or chest x-ray results.

The statements contained herein describe the scope of the responsibility and essential functions of this position, but should not be considered to be an all-inclusive listing of work requirements. Individuals may perform other duties as assigned including work in other areas to cover absences or relief to equalize peak work periods or otherwise balance the workload.