Chief Medical Officer, PIH Health Physicians
: Job Details :

The Chief Medical Officer (CMO) reports directly to the SVP/Chief Medical Officer/Chief Strategy Officer, with a dotted line to the President of PHP and HMS. The CMO is the primary physician leader responsible for overseeing functions related to the quality of care, access, productivity, and performance of PHP Medical Group operations, in coordination with the VP of Group Operations. In conjunction with the COO of HMS, the CMO directs and oversees the daily operations of the IPA, as well as all functions related to MSO such as utilization management, quality management, and claims. On occasion, the CMO may provide direct care services at any PIH Health Hospital or Clinic.

This position requires a deep understanding of medical group operations, medical management, care management, and peer review. The CMO must have proven expertise in quality management, safety, and clinical effectiveness. As a key member of the senior leadership team, the CMO is accountable for leading in a manner consistent with the organization's mission, values, leadership model, and customer service philosophy. The CMO assists the VPs and System CMO in developing and implementing programs, policies, and procedures, including physician recruitment that spans the continuum of care from ambulatory to inpatient and post-acute. The focus is to achieve strategic objectives and ensure that the overall quality of medical care delivered meets or exceeds current medical standards, both in substance and perception, while adhering to pertinent health plan policies, guidelines, and benefits. Excellent listening and communication skills are essential to lead the group culture and achieve and sustain excellent performance.

Key Responsibilities:

• Extensive experience practicing medicine.
• Proven expertise in medical management.
• Knowledge and expertise in change management.
• Strong working knowledge of the current ambulatory healthcare industry, as well as managed care experience with the Department of Managed Care.
• Excellent verbal and written communication skills.
• Ability to communicate technical issues to medical staff, department chairs, Vice Presidents, hospital leaders, and the Chief Operating Officer.
• Efficient management skills that emphasize mentoring, training, and team building.
• Strong facilitation skills.
• Lead by example.
• Develop a culture of excellence.
• Collaborate with all PHP providers to create a shared vision of excellence.
• Coordinate the sharing of pertinent information with each provider to ensure their success.
• Provide necessary resources to support each provider in meeting or exceeding their expectations.
• Effectively deal in a fast-paced, changing environment.
• Handle multiple priorities.
• Good organizational skills.

Required Qualifications:

• Extensive experience practicing medicine or surgery.
• Previous management experience.
• A current California state medical license; board certified in the appropriate specialty.
• Executive management experience, including three (3) years in hospital or medical group management.
• Prior medical administration experience in multispecialty groups.
• IPA and Managed Care experience.
• Knowledge of CMS regulations, Department of Health Services health plan regulatory agency requirements, and specific expertise in utilization management, care management, quality management, and credentialing standards.

Preferred Qualifications:

• Proven record of accomplishment working as a CMO for a minimum of three years.
• Masters of Business Administration or Masters in Health Administration.
• LEAN training.

For inquiries, please contact: ...@PIHHealth.org (NO OUTSIDE RECRUITMENT AGENCY ASSISTANCE AT THIS TIME)

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