Chief Medical Officer

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 Obgyn, Pediatrics, 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.

Created: 2025-10-31