Deputy Chief Medical Officer

Bakersfield, CA - USA

Yearly Salary: $ 308461 - 408710

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

KHS reasonably expects to pay starting compensation for the full time position of Deputy Chief Medical Officer in the range of $308461 - $408710.50 annually. Our Mission.. Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery the role *To apply please send your resume or CV to Jessica Davis at . For more information contact Jessica Davis at .The Deputy Chief Medical Officer (DCMO) working under the direction of the Chief Medical Officer will provide physician executive leadership across Kern Health Systems clinical programs. This position will oversee the medical care delivery system including development and implementation of strategies programs policies and procedures for all medical services. The DCMO provides executive-level clinical and operational leadership to ensure high-quality cost-effective and culturally competent care delivery for KHS members. Serving as a key partner to the Chief Medical Officer the DCMO has primary responsibility for comprehensive clinical oversight including quality of care safety clinical effectiveness and medical DCMO will be responsible for establishing and revising standards for evaluating providers for inclusion into KHS programs and monitoring the ongoing performance of participating providers. DCMO Essential Functions:Clinical Leadership & OversightDirectly supervise and develop the Medical Directors and Senior director of Health Services ensuring clinical and operational alignment with organizational the CMO with oversight of the successful delivery of care and services for dual Special Needs Plan (D-SNP) members ensuring compliance quality and positive member experience leadership in MLR performance initiatives driving cost management efficiency and sustainability through value-based with Health Services leadership in advancing population health medical management and provider the day-to-day medical care delivery system while building readiness to assume full CMO supervise mentor and evaluate Medical Directors and Senior director of Health clinical leadership and works collaboratively with the directors of the other Departments of KHS to ensure compliance with the contractual and regulatory clinical support and education to the provider network in support of standards of care and evidence-based medicine and use of clinical criteria in decision the CMO with oversight of the D-SNP program delivery including compliance with CMS requirements member outcomes and initiatives to achieve annual MLR targets and ensure financial stewardship of healthcare and Strategic ManagementPartner with Business Intelligence to design monitor and deliver actionable analytics to executives and direction of the CMO ensure quality and utilization management programs meet or exceed NCQA Medi-Cal and Medicare and lead the organizations overall quality improvement strategy and the CMO with aligning QI initiatives with regulatory requirements accreditation standards (e.g. Joint DMHC DHCS NCQA) and organizational efforts to improve patient safety clinical effectiveness and quality outcomes and progress to executive leadership the Board of Directors and regulatory communicate QI goals progress and results to stakeholders at all clinical data and quality reports to identify trends gaps and opportunities for the adoption of clinical guidelines care pathways and best medical care delivery system including development and implementation of policies and procedures for medical services Oversee the development of evidence based clinical best practices policies and practicesOversee clinical data analytics including helping train staff and providers on understanding how to analyze and use data and informationStakeholder EngagementServe as a member of the following committees of the KHS Board of Directors: EQIHEC PAC P&T/DUR Quality Improvement Committee and Grievance responsible for reviewing and managing utilization of health care services at all levels of care to achieve high quality outcomes in the most cost-effective KHS in the medical community and in general community public in the implementation of the KHS Credentialing for Review and identification of area for improvement and provide clinical leadership in the implementation of KHS Quality Improvement Plan and the Utilization Management and/or attend and actively participate in meetings and committees as assigned by the cost-containment or value-based initiatives annually with measurable Participates as a member of the Health Services management duties and responsibilities identified for the Medical Director under the Quality Improvement Plan the Utilization Management in carrying out the organizations mission goals objectives and continuous quality improvement of KHS at regulatory community and provider forums when delegated by the as acting CMO during delegated absences building leadership competency in executive-level in selection of physicians health networks ancillary services and other providers to participate in KHSs provider networkEmployment Standards:Current valid unrestricted California Physician & Surgeons License with Board certification in area of specialty required;Medical Doctor degree from a fully accredited university;Advance degree in management (MBAm NGSA etc) in clinical data management applications preferred;Experience:Five (5) years of active clinical practice experience required; Eight (8) years full-time managed care administration that includes Medicare(strongly preferred) Medi-Cal experience and NCQA required;Progressive leadership roles in managed care covering Utilization Management Care Management Quality Assurance;Experience with ACO IPA or physician group management preferred;Health Care data analysis and use of data for monitoring outcomes and performance for programs and staff management;Population management and HEDIS reporting;

Required Experience:

Chief

Required Experience:

Chief