Chief Medical Officer - Aetna Medicaid Louisiana
Company: CVS Pharmacy
Location: Kenner
Posted on: January 26, 2023
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Job Description:
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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.
Apply
Keywords: CVS Pharmacy, Kenner , Chief Medical Officer - Aetna Medicaid Louisiana, Healthcare , Kenner, Louisiana
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