Chief Medical Officer

Role Overview

• Act as the primary medical leader responsible for interfacing with health plans regarding benefits, coverage issues, appeals, and administrative matters
• Attend HMO hearings on appeals and provide clinical expertise in resolving escalated medical and administrative issues
• Provide clinical leadership and guidance to Primary Care Physicians (PCPs), specialists, and other providers across the AHS network
• Chair the Credentialing Committee, ensuring all network providers meet the required qualifications
• Lead and provide oversight of the Utilization Management Committee (UMC)
• Oversee Quality and HEDIS programs, ensuring compliance with performance standards

Requirements

• Doctor of Medicine degree
• Current Board certification, in Internal Medicine, Family Practice, or Geriatrics
• Active and in good standing MD licensure in the state of California
• A minimum of ten (10) years as a practicing inpatient and outpatient physician in a managed care environment
• 6 years management experience
• Health plan experience in operations
• Experience in a physician group model

Benefits

• Excellent medical, vision, and dental coverage
• 401k savings plan with a company match
• Flexible time off and 9 Paid Holidays
• Eligible to participate in our annual bonus program