Chief Medical Officer - Aetna Medicaid Louisiana

Company: CVS Pharmacy
Location: Kenner
Posted on: January 26, 2023

Job Description:

Search by job title, category, or Military MOS code Chief Medical Officer - Aetna Medicaid LouisianaJob Description
Job Purpose and Summary:

The State CMO has budget accountability for the Market/State they support. They will serve as a strategic
and operational partner to the State CEO, COO, and HSO in Medicaid driving clinical excellence, quality and medical management in a highly matrixed environment and having shared operational responsibilities with other members of the plan C-suite.

The CMO time commitment would be -15% thought leadership and 85% accountability for plan clinical outcomes.

The CMO will also support national strategic processes and priorities as well as conceptualization, design and implementation of strategic priorities for Medicaid.

The CMO will be responsible for cost containment outcomes and defined KPI's and overall growth and success of the plan through effective clinical leadership.

1. Accountable for overall plan results and the delivery of high quality cost effective products and services that strategically align to the goals of the State.
2. Ensures members get the right health care treatment for their needs, working to eliminate low value care, over and under utilizations of health care services in alignment with the Quintuple AIM.
3. Participates with plan leaders in identification and developing the appropriate enterprise and local strategies to fulfill plan business goals and growth imperatives.
4. Provide clinical expertise to shape the integrative model of physical, behavioral, and social determinates of health arriving at a whole person care.Pay Range
The typical pay range for this role is:
Minimum: 178,750
Maximum: 385,000Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications
Prior Relevant Work Experience: 5 to 8 years Managed Medicaid experience

Current Board Certification in ABMS or AOA recognized specialty

Active MD License without encumbrances in Louisiana Required

MBA or MPH preferred

Background Experience Desired
1. Demonstrated experience in population health management and managed Care.
2. Passion and ability to influence and drive better outcomes in healthcare delivery.
3. Understanding of Value Based Contracting/Accountable Care and how this relates to improving the quality of care for our members through collaboration.Preferred Qualifications
MBA or MPH preferredEducation
MD or DO requiredBusiness Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors--- support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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