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CareMore, West Region Chief Medical Officer job in Atlanta at Elevance Health

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CareMore, West Region Chief Medical Officer at Elevance Health

CareMore, West Region Chief Medical Officer

Elevance Health Atlanta, GA Full-Time

CareMore, West Region Chief Medical Officer

  • Job Family: Medical and Clinical

  • Type: Full time

  • Date Posted:Sep 02, 2022

  • Req #: JR6514

Location:

  • National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint

Description

Be part of an extraordinary team. We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

CareMore is a proud member of the Anthem family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.

Job Title: CareMore, West Regional Chief Medical Officer

Location: Pacific, Mountain or Central Time Zone (s) preferred

The incumbent for this position will be responsible for partnering with business, operations, and growth leaders to support business growth in the defined markets. Maintains a high level of touch with prospects and members to ensure that aggressive growth targets are achieved. Responsible for clinical operations and medical staff within the West region.

Primary duties may include, but are not limited to:

  • Leads clinical performance and strategy for multiple markets and is accountable for population clinical outcomes and quality, clinical staffing and training, care coordination and alignment with network providers, and overall clinical and financial performance

  • Oversees each market including hospitals; care centers; home visits; and network provider offices to optimize clinical and financial performance

  • Provides strategic and operational direction for the delivery of performance-based medical management

  • Responsible for clinical outcomes across acute and post-acute care, ambulatory care and chronic disease management, and specialty care for all patients and markets under purview

  • Monitors data to ensure that network providers are providing high-quality service to members at a reasonable cost; are effectively working to improve clinical performance, coding, and HEDIS/Star gap measures; and meets regularly with critical primary care and specialty groups to ensure that there is a deep understanding of both performance expectations and the CareMore model

  • Manages budget and risk drivers

  • Analyzes and reports business performance data to customers, senior management, and company leadership

  • Analyzes local profit and loss performance

  • Contributes to the internal and external health industry development efforts

  • Hires, trains, coaches, counsels, and evaluates performance of direct reports

Minimum Requirements:

  • Requires MD or DO and a minimum of 5 years of experience as a hospitalist or internist and a minimum of 10 years of combined administrative and leadership experience; or any combination of education and experience, which would provide an equivalent background.

  • Requires current unrestricted medical licensure in applicable state(s)

  • Board certification from the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA)

Preferred Skills, Capabilities, and Experiences:

  • 6 years of combined leadership & administrative experience from a healthcare organization

  • Experience in inpatient and outpatient care delivery models servicing Medicare and Medicaid patients

  • Experience in Medicare Advantage with dual, chronic, and institutionalized special needs plan patients

  • Experience in Utilization Management and Cost of Care initiatives

  • Understanding of CMS regulations

  • Experience in partnering through CMS Audit process

  • Understanding of Hospital systems coupled with Healthplan knowledge

  • Internal, and or Family Medicine specialty are highly desirable

For CareMore business units, satisfactory completion of a Tuberculosis test is a requirement for this position.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short- and long-term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs, and financial education resources, to name a few.

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide and Anthem approves a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state, and local laws.

Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For, is ranked as one of the 2020 Worlds Most Admired Companies among health insurers by Fortune magazine, and a 2020 Americas Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact [ Email address blocked ] - Click here to apply to CareMore, West Region Chief Medical Officer for assistance.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide and Elevance Health approves a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 Worlds Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [ Email address blocked ] - Click here to apply to CareMore, West Region Chief Medical Officer for assistance.

EEO is the Law

Equal Opportunity Employer / Disability / Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

  • EEO Policy Statement

  • EEO is the Law Poster

  • EEO Poster Supplement-English Version

  • Pay Transparency

  • Privacy Notice for California Residents

Elevance Health, Inc. is an E-verify Employer

Need Assistance?

Email us ([ Email address blocked ] - Click here to apply to CareMore, West Region Chief Medical Officer) or call

1-877-204-7664

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