Physician-Statewide Medical Director (Chief Medical Officer)
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Job Location:
Baton Rouge, LA - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
About this Job
The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical preventive and rehabilitative services for all residents of the State of Louisiana.
Learn more about Louisiana Department of Health
The Physician Statewide Medical Director / Chief Medical Officer (CMO) is a physician board-certified by the American Board of Internal Medicine and provides medical and clinical support to the Medicaid Program. The Chief Medical Officer (CMO) provides strategic clinical leadership and medical oversight for all Medicaid programs ensuring high-quality compliant and cost-effective care for members. Serving as the agencys principal clinical advisor the CMO shapes medical policy quality strategy and value-based initiatives while partnering with Managed Care Organizations providers and community stakeholders to improve health outcomes for high-need populations.
Minimum Qualifications
LICENSURE REQUIREMENT: VALID LOUISIANA STATE BOARD OF MEDICAL EXAMINERS LICENSURE
Job Duties and Other Information
Job Duties:
The Statewide Medical Director /Chief Medical Officer (CMO)is responsible for the following functions:
- Interpret existing clinical policies that define services covered by Louisiana Medicaid.
- Assist in analysis development and implementation of new clinical policies and criteria.
- Confer with medical directors of the Medicaid managed care health plans to identify lessons learned and make recommendations for changes to address access to care
- Prepare and deliver presentations to Medicaid provider groups and other stakeholders as identified by the Physician Statewide Medical Director (Medicaid). or the LDH Executive Management Team.
- Critically analyze Medicaid quality measures and Medicaid managed care organization quality performance in cooperation with Quality leadership and Medicaid personnel.
- Assist with the development of quality measures that support innovation advanced payment models and population health and facilitate stakeholder input for quality measures to be monitored and/or financially incentivized in the Medicaid program.
- Collaborate with the diverse community of Medicaid managed care organization medical directors medical professionals and patient and community representatives.
- Chair the Medicaid Medical Care Advisory Committee maintain/participate on the Medicaid Quality Subcommittees to support the overall quality improvement objectives of the Medicaid program.
- Provide medical consultation to Medicaid program staff on member-specific covered services issues.
- Use clinical expertise to inform agency strategic priority around delivery system reform including community engagement care coordination case management and community health worker programs to advance population heath and value-based care.
- Advance agency strategic priority of implementing and evaluating advanced payment models and payment reform.
- Participate in Medicaid Executive Management Team to contribute to strategic vision agency leadership and short and long-term strategic planning for the Louisiana Medicaid program.
- Report directly to the Medicaid Executive Director for assigned responsibilities and duties.
- Represent the department in programmatic matters at various federal state and local hearings meetings and conferences
- Work with states regional and parish administrative staff to ensure all related contracts are implemented according to federal and state laws/regulations in keeping with the guidance of the Medicaid program.
- Supervise and direct the work of professional/subordinate staff
- Establish performance goals objectives and evaluation criteria for employee performance.
- Schedule and participates in performance reviews and planning meetings and completes the formal performance appraisal.
Position-Specific Details:
Location: Medical Vendor Administration / Directors Office-Executive Management Team / East Baton Rouge Parish
Appointment Type:This position will be filled as a Full-time Unclassified position
Cost Center:
Position Number(s):
Compensation:Salary Depends on Qualifications
How To Apply
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy click on the Apply link above and complete an electronic application which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
* Information to support your eligibility for the position must be included in the application (i.e. relevant detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.
Contact Information:
Casey Hickman
LA Department of Health (LDH)
Division of Human Resources
PO Box 4818
Baton Rouge LA 70821
This organization participates in E-verify and for more information on E-verify please contact DHS at 1-.
LDH supports Louisianas commitment to being a State as a Model Employer (SAME) by promoting the recruitment hiring and retention of individuals with disabilities.
Information on the Louisiana Works Louisiana Rehabilitation Services is availablehere.
Required Experience:
Chief
Key Skills
- EMR Systems
- Post Residency Experience
- Occupational Health Experience
- Clinical Research
- Managed Care
- Primary Care Experience
- Medical Management
- Utilization Management
- Clinical Development
- Clinical Trials
- Leadership Experience
- Medicare
