Insurance Medical Officer Jobs (NOW HIRING)

Administration
8609 Evergreen Way
Everett, WA 98208, USA

Community Health Center of Snohomish County offers competitive wages and a comprehensive benefits package designed to address health, time off, retirement and career-advancement needs. Benefits available include health insurance (medical/dental/vision), up to 160 hours of vacation time pro-rated by FTE every 12 months, paid sick leave, 10-paid holidays, 403(b) Safe Harbor retirement plan with employer match, disability and life insurance, and more! We also offer $0.75/hour for those who test proficiently in a second language.

Job Summary

The Chief Medical Officer (CMO) contributes to the successful achievement of the organization’s mission and strategic initiatives by providing leadership, oversight, evaluation and direction for the general administrative and clinical services, activities and programs of the organization through planning, organizing and directing the various departmental functions. The CMO serves as a member of the Executive Leadership Team. This position provides management and supervision to designated staff. The CMO is responsible for the activities and programs of the departments within areas of responsibility: Medical, Mental Health, Chemical Dependency, Clinical Outreach/Allied Services, Nursing, and Pharmacy Services. As a practicing Physician, the CMO provides medical care to all age groups in accordance with the State of Washington Department of Licensing and professional scope of practice and applies diagnostic and therapeutic medical services to patients, while making reasonable and sound medical assessments and treatment plans.

• Reads, speaks, understands and writes proficiently in English.
• Effectively communicates orally and in writing.
• Relates and interacts with staff at all levels of the organization.
• Represents the organization in a professional and effective manner to the community.
• Works independently and is self-directed.
• Provides operational and project management leadership across the organization.
• Supports, motivates and sustains a team-oriented culture.
• Articulates organizational vision and implements organizational strategic initiatives.
• Demonstrates excellent analytical, quantitative and financial skills.
• Exercises sound judgment, tact and diplomacy.
• Evaluates and effectively addresses highly complex issues and problems.
• Delegates work, sets expectations and monitors activities of subordinate managers and staff appropriately.
• Applies skills in employee relations: recruiting, onboarding, coaching, terminations, etc.
• Demonstrates leadership and basic management skills.
• Proficiency in the use of Microsoft Office applications; Word, Excel, Outlook and PowerPoint.

Preferred:

Education

• Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited School of Medicine or Osteopathy.
• Completion of an accredited residency program in area of practice (e.g., family practice, internal medicine, or pediatrics).

Preferred:

• Education and training in specialized care such as family practice, internal medicine, pediatrics, obstetrics and prenatal.

• Senior/director level management experience (7 years).
• Supervisory experience over mid-level/department managers (5 years).
• Experience working with the strategic planning process.
• Familiarity with community health centers, medical/dental practices, or other healthcare settings.
• Experience as a practicing clinician (7 years).
• CPT-4 coding experience.
• ICD-10 coding experience.
• Experience in a primary care, multi-site, multi-provider medical practice.
• Quality improvement/assurance and/or CQI experience in a primary care, multi-site setting.
• Healthcare information systems, such as electronic health record and practice management systems experience.
• Project management and leadership experience (3 years).
• Corporate compliance and HIPAA privacy/security experience.

Preferred:

• Familiarity with federally qualified health centers or FQHC "look alikes".
• Working in a not-for-profit organization.
• Working with low income, multi-ethnic populations.
• Familiarity with enterprise and healthcare risk management services.
• Familiarity with other healthcare services (e.g., Mental Health, Chemical Dependency and Clinical Outreach/Allied Services).
• Familiarity with pharmacy services and programs.

Credentials

• Physician license (MD/DO) with the State of Washington.
• Board eligible/Board certified by the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA) in Family Practice, Internal Medicine or Pediatrics. Board certification - must be obtained within one year from date of hire.
• DEA controlled substances registration.
• Basic Life Support for Health care Providers (CPR/AED) certification - must be obtained within 45 days of employment.
• Successful completion of CHC's credentialing and privileging review upon hire and re-credentialing as appropriate.

Job Specific Functions/Performance: General

• Contributes to the successful achievement of the organization’s mission and strategic initiatives by providing leadership, oversight, evaluation and direction for the general administrative and clinical services, activities and programs of the organization through planning, organizing and directing the various departmental functions.
• Works collaboratively with members of the Executive Leadership Team to assure achievement of annual business and strategic goals, and objectives.
• Serves on the Executive Leadership Team and other formal and ad hoc committees and teams as appropriate.
• Under the direction of the Chief Executive Officer, serves as staff to the Board of Directors as appropriate.
• Works collaboratively with the Chief Financial Officer to prepare an annual department budget and allocates resources to carry out activities and programs of the departments within areas of responsibility.
• Reviews, analyzes and evaluates financial and statistical information and productivity reports with department managers and makes the necessary adjustments as appropriate. Prepares and distributes data and/or reports and presentations to appropriate recipients and audiences.
• Leads appropriate meetings, teams/committees, work groups, etc., as needed.
• Adheres to attendance standards in order to perform the job functions for daily operations and/or continuity of patient care.

Job Specific Functions/Performance: Clinical Services

• Oversees all functions related to clinical services, including but not limited to providing, monitoring and maintaining the highest degree of quality clinical care and in providing overall direction, integration and coordination of medical, mental health, chemical dependency, clinical outreach/allied services throughout the organization.
• Participates in the development of the HRSA Health Center Program grant budget as part of the annual agency budget development process.
• In collaboration with the Chief Dental Officer (CDO), oversees the QI/QA program established by board-approved policies. These responsibilities include, but are not limited to, ensuring the implementation of QI/QA operating procedures and related assessments, monitoring QI/QA outcomes, and updating QI/QA operating procedures. Is responsible for the organization’s Quality Improvement Plan, State-approved Coordinated Quality Improvement Plan (CQIP) and annual quality improvement work
• Directs training for staff, as necessary, to maintain compliance with facility, state and federal standards.
• Directs the creation, implementation and evaluation of medical systems and procedures.
• Implements new programming related to improved clinical care, clinical measures, quality care indicators, enhanced health outcomes and ensures smooth follow through in coordination with all team members.
• Plans and recommends to Administration, Clinical Leadership and Operations new facilities or equipment, or modification thereto, needed to provide patient care; participates in the assessment of clinical equipment and supplies required for the program.
• Collaborates with others to monitor the quality of patient services, including but not limited to, patient satisfaction surveys, compliments and complaints, and makes necessary adjustments and recommendations to sustain or improve levels of performance; responsible for the resolution of patient grievances regarding quality of care by providers.
• Works collaboratively with the Clinical Directors, Practice Managers, and Chief Operating Officer to monitor and improve processes and outcomes of care.
• Collaborates with the CDO to develop, implement and enhance chart review/peer review processes.
• Oversees medical utilization to evaluate the clinical necessity, appropriateness, and efficiency of the use of services and procedures; and fosters and supports linkages with appropriate specialists, sub-specialists and related services.
• Works collaboratively with the Chief Information Technology Officer, Chief Operating Officer and Chief Financial Officer in monitoring the clinical, operational and financial performance of the electronic health systems, and oversees updating the systems, testing and implementation of new components; and sets priorities for new initiatives.
• Provides oversight to provider Continuing Education (CE) activities.
• Works collaboratively with the Chief Executive Officer, Chief Administrative Officer and the Human Resources Department to assure achievement of annual recruitment and retention objectives for provider staffing and oversight of provider employment agreements.
• Responsible for oversight of provider scheduling, in collaboration with Chief Operating Officer.
• Performs all duties and responsibilities contained in the job description for a Physician.
• Works collaboratively with members of the Executive Leadership and Management Teams to provide and monitor clinical activities and programs throughout the organization.
• Responsible for personal as well as Departmental full compliance with all applicable federal, state, local and health center rules, regulations, protocols and procedures governing the practice of medicine and the clinical provision of medical care as well as those relating to, but not limited to, personnel issues, workplace safety, and public health.

Job Specific Functions/Performance: Pharmacy Services

• Oversees all functions related to pharmacy services, including but not limited ensuring the pharmacy operates in conformance with state laws and professional standards.
• Works collaboratively with the Pharmacy Services Manager and Chief Operating Officer to monitor and improve processes and outcomes of services.
• Works collaboratively with members of the Executive Leadership and Management Teams to provide and monitor pharmacy activities and programs throughout the organization

CHC is an Equal Employment Opportunity/Affirmative Action Employer (EEO/AA)/At-will employer.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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