Description

Are you a passionate and experienced physician leader with a focus on behavioral health? We’re seeking a dynamic Senior Medical Director to serve as our Chief Medical Officer for our health plan in New Mexico. This is a fantastic opportunity to shape the future of healthcare delivery, improve lives, and lead a dedicated team. This is a remote position within New Mexico.

Company Culture and Environment

You will work alongside a talented team of professionals who are committed to improving healthcare and creating a collaborative environment focused on high-quality care.

Career Growth and Development Opportunities

This high-impact role offers the opportunity to develop and implement clinical strategies across all lines of business (Medicaid, Medicare, and Commercial), allowing for substantial professional development and leadership growth.

Detailed Benefits and Perks

• Comprehensive benefits package designed to support your well-being, including health, life, voluntary, and other benefits and perks.

Compensation and Benefits

• Competitive salary range that reflects the importance of this leadership role, adjusted based on skills, experience, education, and other job-related factors.

Why you should apply for this position today

You’ll be making a tangible difference in the lives of our members by ensuring access to high-quality, cost-effective care and leading a dedicated team in a meaningful way.

Skills

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree or equivalent international degree.
• Strong leadership skills and the ability to drive change.
• Experience with cost-benefit analysis, medical decision analysis, credentialing, quality assurance, and continuous quality improvement.
• Clinical experience relevant to the patient populations being managed.

Responsibilities

• Provide clinical leadership and oversight for all aspects of the health plan’s clinical operations, including service coordination, utilization management, and quality improvement.
• Ensure compliance with medical policies, clinical guidelines, and quality and clinical operations policies.
• Analyze utilization, quality, and financial data to drive improvements in care delivery.
• Build and maintain strong relationships with providers, health plan partners, members, and state agencies.
• Provide medical leadership for Quality Improvement (QI) Programs.
• Recruit, train, supervise, mentor, and evaluate medical staff and physician advisors.
• Develop and manage budgets and implement medical policies and procedures.
• Participate in RFP response development.

Qualifications

• At least 7 years of post-residency experience with substantial direct patient care.
• Unrestricted, current, and valid medical license in New Mexico.
• Board certification (ABMS or Specialty Board).

Education Requirements

• Completion of a US-based internship and residency (and fellowship for subspecialists).

Education Requirements Credential Category

• MD or DO degree.

Experience Requirements

• Clinical experience relevant to the patient populations being managed.
• Experience leading clinical teams and driving quality improvements.

Why work in Albuquerque, NM

Albuquerque offers a unique blend of cultural diversity, beautiful landscapes, and a vibrant art scene. The city’s commitment to healthcare innovation and community wellbeing provides an enriching environment for both personal and professional growth.