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Insurance Medical Officer Jobs (NOW HIRING)

Valle Del So

Chief Medical Officer

Phoenix, AZ · On-site

The Chief Medical Officer (CMO) is responsible for leading and overseeing all medical services ... Dental insurance * Employee assistance program * Employee discount * Health insurance * Life ...

Centene

Chief Medical Officer

New York, NY · On-site +1

$276K - $525K/yr

We are hiring a Chief Medical Officer for our New York Health Plan, Fidelis Care. Candidates should ... Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel ...

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Insurance Medical Officer information

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$21K

$92.6K

$178K

How much do insurance medical officer jobs pay per year?

As of Jul 1, 2026, the average yearly pay for insurance medical officer in the United States is $92,555.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,500.00 and $84,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Insurance Medical Officer, and why are they important?

To thrive as an Insurance Medical Officer, you need a medical degree with valid licensure, strong clinical evaluation skills, and a deep understanding of insurance and risk assessment principles. Familiarity with medical underwriting software, claims management systems, and knowledge of relevant regulations is often required. Attention to detail, analytical thinking, and effective communication are essential soft skills for interpreting medical data and collaborating with insurance teams. These competencies ensure accurate risk assessments, informed decision-making, and compliance with industry standards, which are critical for the financial stability of insurance providers.

What are the typical daily responsibilities of an Insurance Medical Officer and how do they collaborate with other departments?

As an Insurance Medical Officer, your daily tasks often include reviewing medical reports, assessing insurance claims for medical validity, and providing expert opinions on complex cases. You’ll work closely with underwriters, claims adjusters, and sometimes directly with policyholders to clarify health information or discuss case specifics. Collaboration with legal and risk assessment teams is also common, especially for high-value or disputed claims. This role requires a balance of medical expertise and clear communication skills to ensure accurate and fair decision-making.

What are Insurance Medical Officers?

Insurance Medical Officers are medical professionals employed by insurance companies or organizations to assess the health of policy applicants, review medical reports, and provide expert opinions on claims. Their main responsibilities include evaluating medical evidence, determining the risk associated with insuring an individual, and advising on policy coverage or claim settlements. They play a key role in ensuring that insurance decisions are medically sound and comply with relevant laws and guidelines.

What is the difference between Insurance Medical Officer vs Medical Examiner?

AspectInsurance Medical OfficerMedical Examiner
CredentialsMedical degree, relevant certifications, licensingMedical degree, often forensic or pathology specialization, licensing
Work EnvironmentInsurance companies, health assessments, claims evaluationCoroner's office, forensic labs, legal investigations
Employer & IndustryInsurance firms, health industryLegal, law enforcement, forensic pathology

The Insurance Medical Officer primarily evaluates health claims and assesses medical risks for insurance companies, working in a healthcare or insurance setting. In contrast, a Medical Examiner investigates deaths, often in forensic contexts. While both roles require medical expertise and certification, their work environments and objectives differ significantly.

More about Insurance Medical Officer jobs
What states have the most Insurance Medical Officer jobs? States with the most job openings for Insurance Medical Officer jobs include:
What job categories do people searching Insurance Medical Officer jobs look for? The top searched job categories for Insurance Medical Officer jobs are:
Insurance Medical Officer jobs near you
Infographic showing various Insurance Medical Officer job openings in the United States as of June 2026, with employment types broken down into 79% Full Time, and 21% Part Time. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $92,555 per year, or $44.5 per hour.

Chief Medical Officer

Valle Del So

Phoenix, AZ • On-site

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 11 days ago

Key responsibilities

  • Lead and oversee all medical services across Valle del Sol health centers, including primary care, psychiatric, behavioral health, and opioid treatment services.

  • Provide direct patient care and maintain an active caseload while modeling team-based, integrated, and culturally competent care.

  • Supervise and support medical providers, facilitate peer review processes, and ensure clinical documentation meets quality and regulatory standards.

Job description

About Valle del Sol
Join Valle del Sol in our commitment to providing quality, culturally sensitive integrated primary care and behavioral health services to adults, children, and adolescents in need. Valle del Sol offers a diverse work environment, competitive pay and benefits, and the opportunity for training and advancement.
Job Description:
The Chief Medical Officer (CMO) is responsible for leading and overseeing all medical services across Valle del Sol health centers, including primary care, psychiatric, behavioral health, and opioid treatment services. This executive position balances clinical care (20-40% of time) with strategic leadership duties (60-80%), ensuring the delivery of high-quality, patient-centered, and integrated healthcare. The CMO directly supervises the Medical Director of Primary Care and Psychiatry and collaborates across departments to align care standards, improve outcomes, and support provider excellence.
Essential Functions:
Clinical Practice (20-40%)
  • Provide direct patient care while maintaining a leadership role.
  • Maintain an active caseload while modeling team-based, integrated, and culturally competent care.
  • Participate in multidisciplinary team meetings, case reviews, and service coordination.
  • Ensure clinical documentation meets quality standards and regulatory timelines.

Medical Leadership & Oversight (60-80%)
  • Supervise and support medical providers, including Medical Directors, FNPs, PMHNPs, and physicians across programs.
  • Facilitate peer review processes and develop action plans for quality assurance improvements.
  • Monitor prescribing practices, treatment planning, and ensure regulatory compliance (state, federal, accreditation bodies).
  • Oversee all credentialing and privileging activities to maintain high standards of provider competency.
  • Lead or co-lead development of medical policies, protocols, and workflows that support evidence-based care and operational excellence.
  • Serve on and collaborate with the Medical Executive Leadership Team and Shared Operations Leadership Team.

Strategic Planning & Operational Collaboration
  • Partner with the CEO and executive leadership to define and implement clinical goals and strategic initiatives.
  • Develop and monitor KPIs for patient satisfaction, provider productivity, and clinical outcomes.
  • Contribute to provider recruitment, onboarding, training, and retention strategies.
  • Support initiatives to improve access, equity, chronic disease management, and preventive care.

Community Engagement & Representation
  • Represent Valle del Sol in community partnerships, healthcare associations, and public health initiatives.
  • Cultivate relationships with external providers, payers, and regulatory agencies to advance integrated care goals.

Other Functions
  • Demonstrate a commitment to conducting business honestly, ethically, and consistently with Valle del Sol's values, emotional quotients, policies, and procedures.
  • Promote and support a culture of employee engagement and total safety.
  • Ensure duties are performed in compliance with all company and regulatory obligations; follow procedures and processes as directed by leadership.
  • Perform other duties and tasks as assigned.

Benefits
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Health insurance
  • Life insurance
  • Paid time off
  • Professional development assistance
  • Referral program
  • Flexible work schedules
  • Vision insurance

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
Job Qualifications:
  • Completion of Medical School, Family Medicine Residency, or Internal Medicine fellowship.
    • Preferred: Completion of additional formal physician leadership training (e.g., master's in business administration, Healthcare Administration, Medical Management, or other)
  • Board certification from an appropriate specialty board recognized by the Accreditation Council for Graduate Medical Education (ACGME) or the American Osteopathic Association (AOA)
  • Current license or the qualifications to obtain a license to practice medicine, with full prescribing authority, as granted by the State of Arizona.
  • Meet and maintain Valle del Sol's physician credentialing privileges.
  • 7 years of recent experience in a primary care practice, teamed with physicians and advanced practice providers, serving multigenerational and multicultural patients.
  • 5 years of leadership experience related to programmatic, departmental, physician, or medical staff administration.
  • Basic Life Support trained or the ability to be trained within 10 business days from hire date.
  • TB Screening Record and PPD/QuantiFERON/Chest x-ray upon hire (as applicable).
  • Vaccinations/Titer's Test/Declination Form: Flu, Hep B, MMR, Tdap, Varicella, Covid-19.
  • Must be at least 18 years of age.
  • Must possess reliable transportation, a valid driver's license, and proof of auto insurance.
  • Must possess or obtain a valid Fingerprint Clearance Card (if required for the role).
  • Must be authorized to work in the United States.
  • Must be able to pass pre- and continued employment screenings successfully.

Apply