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Market Chief Medical Officer
Market Chief Medical OfficerAmeriHealth Caritas • Baton Rouge, LA, US
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Market Chief Medical Officer

Market Chief Medical Officer

AmeriHealth Caritas • Baton Rouge, LA, US
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Chief Medical Officer

Role Overview : The Chief Medical Officer (CMO) serves as the senior clinical executive for the market, reporting directly to the Market President. This role leads the clinical strategy, population health initiatives, and quality improvement efforts to drive better health outcomes and cost-effective care delivery. The CMO collaborates with internal teams, providers, community stakeholders, and regulatory agencies to promote clinical excellence and operational efficiency.

Work Arrangement :

  • Hybrid - The associate is required to work onsite at the Baton Rouge, Louisiana office four (4) days per week, and must be able to travel to local providers, government offices, and community locations as needed.

Responsibilities :

  • Lead strategic direction and oversight of clinical, quality, and population health programs, including care management, utilization management, and value-based care.
  • Use data-driven insights to identify opportunities for medical cost reduction and quality improvement.
  • Develop and implement medical policies in alignment with regulatory guidelines and organizational goals.
  • Serve as a thought leader and clinical representative to internal teams, external providers, and accrediting / regulatory bodies.
  • Support compliance with federal, state, and accrediting agency standards.
  • Engage with diverse populations to address health disparities and improve access to care.
  • Partner with medical management teams to enhance workflows and clinical outcomes.
  • Participate in internal and external committees to advance strategic initiatives.

    • Education & Experience :

  • Minimum of five (5) years of active clinical practice in a medical specialty such as Internal Medicine, Family Practice, or a surgical discipline.
  • At least five (5) years of progressive leadership in medical management is required. Prior experience as a Medical Director or Chief Medical Officer within a managed care organization is preferred.
  • Proven ability to lead clinical, quality, and operational teams in direct and matrixed environments.
  • Experience working across multiple lines of business, including Medicaid, Medicare, and ACA / Exchange.
  • Experience with quality improvement methodologies (e.g., IHI, Lean, Six Sigma).

    • Licensure :

  • Must hold a current unrestricted license to practice medicine in Louisiana.
  • Valid driver's license and car insurance.

    • Skills & Abilities :

  • Demonstrated knowledge of the health needs of diverse, low-income populations.
  • Strong decision-making skills with the ability to develop and execute strategic initiatives.
  • Advanced analytical capabilities with a focus on population health and cost-of-care outcomes.
  • Excellent verbal and written communication skills, with the ability to clearly convey complex clinical and operational concepts.
  • Ability to build effective relationships across all levels of the organization, including providers, regulatory agencies, and internal stakeholders.
  • Skilled in leveraging technology and data analytics to support clinical and operational performance.
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    Chief Medical Officer • Baton Rouge, LA, US

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