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Chief Medical Officer

Company: The Judge Group
Location: Philadelphia
Posted on: June 25, 2022

Job Description:

Location: Philadelphia, PA Description: The Judge Group is looking for a Chief Medical Officer who is also a -Board Certified Psychiatrist for one of our largest clients in Philadelphia! The Chief Medical Officer is as a key member of leadership team, developing a medical point of view for Client, providing medical leadership to the executive team, and oversight of team of Physician Advisors and pharmacy initiatives. Reports: 12 direct reports currently (Senior Directors, Directors, Psychiatrists, Admin Assistant) Schedule: M-F (some travel needed throughout Philadelphia/Pennsylvania) Extras: experience in managed care is a plus. Knowledgeable of Medicaid. Essential Functions: --- - - - - - - - - - - Engages externally with other payers, providers, and regulatory bodies. Represents medical societies and other Provider/Payer CMO's. --- - - - - - - - - - - Assists operations/programs to comply with accreditation and regulatory standards, including but not limited to NCQA, Pennsylvania Department of Health regulations, PA Department of Human Services, CMS, and corporate and medical policies. - --- - - - - - - - - - - Provides oversight over all quality activities, including all functions within the Quality Management Area. Functions include creation, development and implementation for all Quality Improvement related activities. --- - - - - - - - - - - The CMO has direct responsibility for the Physician Peer Advisors (PA) within and assures adequate PA resources consistent with all regulatory and NCQA requirements. --- - - - - - - - - - - Oversees Pharmacy staff and initiatives --- - - - - - - - - - - The CMO chairs: o - - - - - - - - - Credentialing Committee, ensuring appropriate credentialing practices for the organization. o - - - - - - - - - Utilization Management, reviewing under and over utilization, performance of medical spend to budget, and development of new services that could affect the utilization of existing services. - - --- - - - - - - - - - - Works closely with organization and enterprise leaders for the purposes of strategic planning and operationalizing initiatives. --- - - - - - - - - - - Lends expertise and guidance to initiatives focused on Social Determinants of Health, physical health and behavioral health integration, disease management and population health. EDUCATION: - Licensed MD/DO from Accredited Medical School LICENSURE: - - Current Board certification in Psychiatry by the American Board of Psychiatry and Neurology EXPERIENCE: - Minimum 10 years of clinical experience in the behavioral health field - - - - - - - - - - - - - - - - - - - - - - Managed care experience highly preferred - - - - - - - - - - - - - - - - - - - - - - Senior Management experience - - - - - - - - - - - - - - - - - - - - - - Demonstrated leadership skills - - - - - - - - - - - - - - - - - - - - - - Excellent strategic planning skills - - - - - - - - - - - - - - - - - - - - - - Excellent verbal and written communication skills For Immediate consideration, please send updated resume to EDeLuca@judge.comHope to hear from you soon!

Contact: This job and many more are available through The Judge Group. Find us on the web at

Keywords: The Judge Group, Philadelphia , Chief Medical Officer, Executive , Philadelphia, Pennsylvania

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