The Chief Medical Officer (CMO) is the executive leader responsible for clinical strategy, medical policy, medical management, and other clinical operations to continuously improve the health services provided by health plans contracted by Covered California and promote improvement in California’s delivery system. The CMO directs and leads the implementation of medical programs and policies, while enhancing the relationships with health care providers, Qualified Health Plans (QHPs), state and federal regulatory agencies, and other stakeholders. The CMO is ultimately responsible for ensuring the clinical strategy, tactics, and resources are in place to successfully advance the mission of Covered California.
Key responsibilities of the CMO include:
Leads Covered California’s long-term clinical strategy, ensuring the quality and appropriateness of health care services delivered to the consumers enrolled by its contracted Qualified Health Plans (QHPs).
Directs Covered California’s clinical team, comprised of the Medical Director and the Pharmaceutical Consultant, in concert with other members of the Plan Management Division, to assess QHP performance and to provide QHPs with feedback, opportunities for improvement, and guidance to ensure Covered California contract compliance.
Develops Covered California’s statewide and national clinical outreach and engagement strategy, while ensuring its successful implementation, in an effort to increase the public presence and influence of Covered California.
Champions health care delivery system reform by leading Covered California’s strategic efforts to improve the health care services available to and delivered to the diverse populations within California.
The Ideal Candidate
The ideal candidate for the Chief Medical Officer (CMO) position will have demonstrated cultural sensitivity, respect, and the ability to collaborate and build relationships with diverse internal and external stakeholders. A successful candidate will have exceptional communication, interpersonal, and leadership skills to effectively improve the level of health services provided to consumers through Covered California.
Top candidates will be passionate leaders with strong business acumen who have experience using data driven metrics to improve health care quality and delivery. Strong leadership experience, strategic vision and a proven ability to execute on clinical initiatives are a “must have” in this position.
Additional qualities that the ideal candidate will possess include:
California licensed physician with Board Certification in a specialty recognized by the American Board of Medical Specialties; internal medicine or primary care specialty is preferred.
Minimum of 15 years of professional experience working for health plan or provider organizations, 5 years of which were in a direct clinical practice capacity beyond post-graduate training.
Minimum of 5 years of leadership experience, with demonstrated ability to lead, manage, and mentor clinical staff and teams.
An advanced degree including one of the following: MBA, MPH, MMM, MS- HQSM, MS-POPH, MS-SHCD, MS-ASHI or equivalent.
Experience presenting to, influencing, and collaborating with executive management, board of directors, high-level stakeholders, and health plan issuers on medical policy and health plan contracting matters.
Demonstrated knowledge of health care quality measurement and improvement strategies, accreditation processes and health plan population health and provider oversight processes.
Please contact Elizabeth Mosley at Elizabeth.Mosley@covered.ca.gov to learn more about this exciting career opportunity and to learn about the application process. Thank you!
Application Deadline: 6/1/2020 @ 11:59 pm PDT
Additional Salary Information: Covered California is an exciting, innovative, and unique State of California Department with a strong emphasis on company culture. We take pride in offering training opportunities, professional development, and work-life balance. Covered California provides incredible benefits for our employees, including healthcare, retirement and savings, work life services, leave benefits, and work life balance. To learn more, visit: http://hbex.coveredca.com/jobs/benefits/
Internal Number: JC-194896
About Covered California
The mission of Covered California is to increase the number of insured Californians, improve health care quality, lower costs, and reduce health disparities through an innovative, competitive marketplace that empowers consumers to choose the health plan and providers that give them the best value. We work to improve the health of all Californians by assuring their access to affordable, high-quality care. Since opening our doors in 2014, we have helped over four million people obtain health care coverage.
Covered California is an independent public entity within state government, with a five-member board appointed by the Governor and the Legislature. With approximately 1,400 employees, Covered California has locations in Rancho Cordova, Fresno, Oakland and a headquarters located in Sacramento, California. Covered California’s FY 2019-2020 operating budget of $379.1 million is funded entirely from revenues generated from health plan premiums and is not state or federally funded.
For more information about careers and benefits at Covered California, visit www.hbex.ca.gov/jobs.