CMO HealthHelp

POSITION OVERVIEW

Reporting to the Chief Executive Officer the Chief Medical Officer (CMO) will have primary responsibility for ensuring clinical quality and program optimization across HealthHelps products and be an integral part of driving growth supporting ongoing client engagement physician partnerships product innovation support and thought leadership initiatives. As a core member of the Senior Leadership Team this role will have high visibility at the Corporate and Client levels while acting as a servant leader to their own teams. The CMO will oversee the organizations clinical capabilities by ensuring it meets quality and accreditation standards by leveraging extensive experience with prior authorization processes ecosystem connectivity and creative problem solving. This role will be responsible for overall clinical integrity by bringing focused structure to quality and accreditation clinical area outcomes to optimize product performance with rules and guidelines and to client satisfaction by driving and testing the executed clinical model ensuring all programs operate on industry standards and regulations. This role will require a clinical background strong business acumen data driven decision making a high level of emotional intelligence the ability to delegate effectively and treat others with respect.

MAJOR RESPONSIBILITIES

    Represents and serves as the clinical face of HealthHelp (HH) to health plan clients and providers prospective clients associations Medical Directors Consult Physicians nurses and the general public
    Confers with board members organization officials and/or staff members to discuss issues coordinate activities and resolve problems impacting clinical operations
    Responsible for oversight of all clinical operations entities including medical director and physician reviewer staff
    Oversees the HH Quality Management Program and directs its Quality Management Committee
    Directs plans and implements policies objectives and activities for clinical programs to ensure their continuing improvement in operational efficiency and effectiveness
    Oversees the quality of all clinical aspects and assures investors and executive management that all healthcare programs are being implemented and managed properly.
    Carries out effective collaborative communication with Program Management and all operations support entities in order to achieve optimal operational coordination of all clinical programs

    Recommends changes to clinical review protocols and coordinates revisions to clinical criteria as indicated ensuring quality and safety for health plan client members and providers
    Directs staff in the development of educational materials as needed
    Conducts educational programs and seminars as appropriate
    Responsible for the ongoing development and implementation of inter-rater reliability audit programs
    Provides oversight for quality improvement projects as needed

Qualifications :

Required 

    Current active unrestricted license to practice medicine in a state or territory of the United States
    Medical degree either an M.D. or a D.O. from an accredited school of medicine
    Board certified in one of HHs specialties preferred
    Advanced degree in management such as M.B.A. M.P.H. or M.H.A.
    Meets HHs credentialing requirements
    Strategic vision of the national and international healthcare delivery marketplace
    Seven (7) years of experience in a specialty field or medical management in a health plan
    Three (3) years of experience developing and maintaining administrative claims data sets for the purposes of outcomes analysis and outcomes management
    Five (5) years of experience working in a team environment and three (3) years of experience in supervisory position(s) managing direct reports
    Three (3) years of experience managing budgets
    Working knowledge of statistics
    Excellent communication skills with supervisors peers subordinates and clients and ease with public speaking
    Time management
    Complex problem solving
    Fluency of ideas
    Active listening
    Critical thinking
    Ability to manage personnel resources
    Ability to manage financial resources
    Oral and written comprehension
    Inductive and deductive reasoning
    Ability to develop and build teams
    Ability to develop objectives and strategies
    Good supervisory and delegation skills always holding direct reports accountable for the timeliness and effectiveness of their work 
    Good leadership qualities

Additional Information :

Compensation Disclosure

The base salary range for this position is $380000 - $425000 annually. This range reflects the base pay that we reasonably expect to offer for the role across our hiring locations.

Final compensation will be determined based on a variety of factors including but not limited to the candidates experience education skillset and location.

    Geographic location 

    Overall professional experience

    Directly relevant experience

    Education and certifications

    Industry knowledge and expertise

    Skills and competencies

In addition to base pay this role may be eligible for performance-based bonuses incentive pay or commissions which are not included in the listed base salary range.

WNS complies with all applicable federal state and local pay transparency laws including those in California Colorado New York Washington and Illinois.

Note: For complete compensation information please refer to the job posting on our official careers page.

Benefits Overview

Our benefits package includes (but is not limited to):

- Medical dental and vision insurance

- Paid time off (PTO) holidays and sick leave

- 401(k) with company match or other retirement plan

- Life and AD&D Insurance

- Employee Assistance Program

Equal Opportunity Employer Statement

WNS is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

All qualified applicants will receive consideration for employment without regard to race color religion sex (including pregnancy childbirth or related medical conditions) sexual orientation gender identity or expression national origin age disability genetic information veteran status or any other status protected under federal state or local law.

We also provide reasonable accommodations to individuals with disabilities and for sincerely held religious beliefs in all aspects of employment including the application process.

How to Apply

Please submit your application including a resume and optional cover letter through our careers page or email to

Remote Work :

Yes

Employment Type :

Full-time