Description

Are you a passionate and experienced physician leader ready to make a real difference in behavioral health? We’re seeking a dynamic and compassionate Chief Medical Officer to lead our clinical vision and drive impactful change in New Mexico. This is a fantastic opportunity to shape the future of healthcare delivery across Medicaid, Medicare, and Commercial lines of business, all while enjoying the flexibility of remote work within the beautiful Land of Enchantment.

Company Culture and Environment

We foster a supportive and collaborative work environment that values innovation and teamwork, enabling our staff to thrive and make a real impact in the lives of our members.

Career Growth and Development Opportunities

As Chief Medical Officer, you will have the opportunity to mentor and lead a team of medical directors and physician advisors, empowering them to deliver exceptional care, while also participating in committees focused on quality improvement and network credentialing.

Detailed Benefits and Perks

• A comprehensive benefits package designed to support your physical, mental, emotional, and financial well-being.
• The chance to make a tangible impact on the lives of others.
• Flexibility of remote work within New Mexico.

Compensation and Benefits

• A competitive salary range reflecting your skills and experience.
• Comprehensive benefits package.

Why you should apply for this position today

This role offers a unique opportunity to lead impactful changes in behavioral health while enjoying the flexibility of remote work. Your work will directly affect healthcare delivery in New Mexico, allowing you to make a meaningful difference in the community.

Skills

• Targeted specialties: Psychiatry, Psychiatric sub-specialty, Primary Care, Geriatrics, Palliative Care, or Physical Medicine.
• Proven ability to lead and implement change effectively.
• Experience with cost-benefit analysis, medical decision analysis, credentialing, quality assurance, and continuous quality improvement (CQI) processes.

Responsibilities

• Provide clinical leadership and mentorship to the interdisciplinary Medical Management team.
• Ensure the quality of utilization review determinations and conduct peer-to-peer reviews.
• Monitor case management and disease management programs.
• Participate in case rounds and develop personalized case management plans.
• Evaluate the effectiveness and cost-efficiency of clinical programs through data analysis.
• Build and maintain strong relationships with external stakeholders.
• Provide medical leadership and consultation for Quality Improvement (QI) programs.
• Champion parity efforts and engage in discussions with health plan and client leaders.
• Actively participate in committees focused on network credentialing and quality improvement.
• Recruit, train, supervise, mentor, and evaluate medical staff and physician advisors.
• Develop and implement a Medical Action Plan to address cost of care.
• Implement national and local medical policies and procedures.
• Assess technology and clinical practice standards.
• Monitor the quality and quantity of clinical reviews and care plans.
• Provide after-hours coverage as needed.
• Maintain all required licenses and certifications.
• Contribute to RFP response development and writing.

Qualifications

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree, or equivalent.
• Graduation from a US or Canadian medical school accredited by the ACME or equivalent.
• Completion of a US or Canadian residency program approved by the ACGME.
• At least 7 years of post-residency experience with substantial direct patient care.
• Unrestricted, current, and valid license to practice medicine in a US state or territory.

Education Requirements

• MD or DO degree or equivalent international medical degree with required US-based training.

Education Requirements Credential Category

• Medical Degree.

Experience Requirements

• At least 7 years of post-residency experience.
• Clinical experience relevant to the patient populations being managed.

Why work in Albuquerque, NM

Albuquerque offers a unique blend of cultural diversity, stunning natural landscapes, and a vibrant community. Known for its rich history, art scene, and outdoor activities, living in Albuquerque allows for a balanced lifestyle that promotes both personal and professional growth.