Chief Medical Officer (CMO) - Michigan HIDE
Core
Provide medical leadership and strategy for Health Services Operations, overseeing clinical programs, quality improvement, and utilization management for inpatient and long-term care cases.
Role type
Senior executive physician (Regional VP, Health Services)
Builds
Regional clinical strategies, quality metrics improvements, and provider network contracts
Domain
US Healthcare / Managed Care / Medicare & Medicaid
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Strategic planning, utilization management, quality operations, budget management, provider contracting, financial risk analysis, team leadership, clinical program implementation
Preferred skills
Medical management in insurance/hospital settings, Internal Medicine/Family Practice/Geriatrics/Hospitalist/ER/PM&R specialization, Master's Degree
Technologies
HEDIS, STARS, Medicare Model of Care
Responsibilities
Oversee regional utilization and case management for inpatient/LTSS services; Chair Quality Management Committee and manage peer reviews; Approve administrative budgets and expense reports; Improve HEDIS/STARS metrics with PCP offices; Develop market-level clinical strategies; Manage internal operational relationships for profitability; Assist with provider network development and contracting; Serve as clinical liaison with inpatient facilities.
Seniority
Executive, Regional VP level
