Description

Are you a passionate and experienced physician leader with a focus on behavioral health? Do you thrive in a collaborative environment where you can truly impact patient care? We’re seeking a dynamic Senior Medical Director (CMO) to lead our behavioral health initiatives in New Mexico. This is a unique opportunity to shape the future of mental healthcare and make a lasting difference in the lives of individuals and families.

Compensation and Benefits

• Competitive salary range of \(222,380 - \)422,520 annually, commensurate with experience and qualifications.
• Eligibility for short-term incentives.
• Comprehensive benefits package designed to support your physical, mental, emotional, and financial well-being, including a wide range of health, life, and voluntary options.

Why you should apply for this position today

This role offers a unique chance to lead behavioral health initiatives that can make a significant impact on mental healthcare in New Mexico. Your leadership will contribute to enhancing the quality of care for individuals and families in the community.

Skills

• Strong leadership skills and ability to drive change.
• Experience with cost-benefit analysis, medical decision analysis, credentialing, quality assurance, and CQI processes.
• Targeted specialties: Psychiatry, Psychiatric sub-specialty, Primary Care, Geriatrics, Palliative Care, or Physical Medicine.

Responsibilities

• Provide clinical leadership to the interdisciplinary Medical Management team, including oversight, consultation, and training.
• Ensure the quality of utilization review determinations, including appeals.
• Conduct medical necessity reviews and peer-to-peer reviews.
• Monitor case management and disease management programs to ensure clinical goals are met.
• Participate in case rounds and develop case management plans.
• Evaluate the effectiveness and cost of clinical programs using data analysis.
• Engage with external stakeholders, including health plan partners, state agencies, and regulators.
• Lead Quality Improvement (QI) programs, ensuring effectiveness and compliance.
• Participate in network credentialing and quality improvement committees.
• Recruit, train, supervise, mentor, and evaluate medical staff and physician advisors.
• Develop and manage medical director budgets.
• Develop and implement the Medical Action Plan (MAP) 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.
• Collaborate with the network management team on integrated clinical-network approaches.
• Provide after-hours coverage as required.
• Participate in RFP response development.

Qualifications

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree or equivalent international degree with required US training.
• Graduate of an accredited American or Canadian medical school.
• 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.
• Clinical experience relevant to the patient population.
• Unrestricted medical license in New Mexico.

Education Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree or equivalent.
• Completion of a residency program approved by the ACGME.

Education Requirements Credential Category

• Medical degree from an accredited institution.

Experience Requirements

• At least 7 years of post-residency experience.
• Relevant clinical experience pertaining to behavioral health and patient populations.

Why work in Albuquerque, NM

Albuquerque offers a unique blend of cultural heritage, stunning natural landscapes, and a burgeoning healthcare sector. With a lower cost of living compared to other major cities, you can enjoy a balanced lifestyle while contributing to meaningful healthcare initiatives in a community-focused environment.