Job Description
Imagine a role where you can shape the clinical vision for a leading health plan, improve access to quality care, and make a real difference in the lives of individuals across New Mexico. We're seeking a passionate and visionary Senior Medical Director to serve as our Chief Medical Officer (CMO) for Behavioral Health. If you're a board-certified physician with a heart for service and a drive to innovate, we want to hear from you!
Why You'll Love This Role:
Meaningful Impact: Lead clinical programs and initiatives that directly improve behavioral health outcomes in New Mexico.
Leadership Opportunity: Serve as the CMO for Behavioral Health, shaping the clinical vision for Medicaid, Medicare, and Commercial lines of business.
Remote Flexibility: Enjoy the convenience of a remote position while residing in New Mexico.
Competitive Compensation & Benefits: Earn a competitive salary with potential incentives and access a comprehensive benefits package.
Collaborative Environment: Work with a dedicated interdisciplinary team and collaborate with key stakeholders.
Professional Growth: Advance your career in a dynamic and innovative healthcare organization.
What You'll Be Doing:
As our Senior Medical Director, you will:
Provide clinical leadership to the interdisciplinary Medical Management team.
Oversee service coordination, utilization management, care/case management, and population health/disease management.
Ensure the delivery of appropriate healthcare by monitoring and overseeing Medical Directors and Physician Advisors.
Lead parity efforts and maintain parity documentation.
Analyze utilization, quality, and financial data to ensure high-quality, cost-effective care.
Review cases, make medical necessity determinations, and conduct peer-to-peer reviews.
Participate in case rounds and develop case management plans.
Evaluate the effectiveness and cost of care of clinical programs.
Interface with external stakeholders, including health plan partners and state agencies.
Provide medical leadership for Quality Improvement (QI) Programs.
Recruit, train, and supervise medical staff and physician advisors.
Develop and implement the Medical Action Plan (MAP) to address cost of care.
Implement medical policies and procedures.
Monitor quality and quantity of clinical reviews and care plans.
Provide after-hours coverage as required.
Participate in RFP response development and writing.
What We're Looking For:
We're seeking a compassionate and strategic leader who:
Holds a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree (or equivalent).
Has completed a residency program approved by the ACGME.
Has at least 7 years of post-residency experience with substantial direct patient care.
Has clinical experience pertinent to the patient populations being managed.
Holds an unrestricted, current, and valid medical license to practice in New Mexico.
Is board-certified or board-eligible.
Has experience with cost-benefit analysis, medical decision analysis, credentialing, and quality improvement.
Has excellent leadership and communication skills.
Targeted Specialties:
Psychiatry
Psychiatric Sub-specialty
Primary Care
Geriatrics
Palliative Care
Physical Medicine
What We Offer:
Competitive salary ($222,380 - $422,520 per year).
Comprehensive benefits package.
Remote work flexibility within New Mexico.
Opportunity to lead clinical innovation and make a real impact.
Ready to Lead Clinical Innovation in New Mexico?
If you're a passionate and driven physician seeking a rewarding career opportunity to lead behavioral health initiatives in New Mexico, we want to hear from you! Apply today and join our team.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Employment Type: Full-Time
Salary: $ 289,809.00 Per Year
Job Tags
Full time, Remote work, Work from home,