CMO (Chief Medical Officer)
Company: Optimum RTS, LLC.
Posted on: April 9, 2021
The Chief Medical Officer (CMO) will be a seasoned and mature
Board-eligible physician with at least 5-10 years of experience
providing medical direction and supervision to teams of medical
staff, ideally in a community-based clinic environment with more
than one clinic site. S/he must have experience developing and
implementing standards of care, medical protocols, quality
assurance standards and monitoring, and professional training and
education. S/he must also have experience implementing new clinic
operating processes and systems aimed at improving efficiency;
knowledge of, and experience with, EHR and/or other related
automated systems. The CMO must be committed to furthering the
mission and vision for the company KEY OBJECTIVES:
- Direct and interpret data based utilization analysis, including
cost trending in key areas (inpatient, pharmacy, ED use, etc.);
Review and update the utilization management policies annually; and
Develop new authorization policies as needed.
- Participates in Quality initiatives, and in conjunction with
the Quality Improvement Manager and Medical Director(s), completes
the Quality Improvement Program Description.
- Work with the Clinical Pharmacist and medical director(s) on
clinical reviews and programs; accurate documentation, along with a
utilization review process, is an imperative component of the
overall medical management and clinical intervention programs, the
CMO must have a clear understanding of clinical documentation
- Work with the Care Management Director and Medical Director(s)
to set the clinical direction and implement disease management,
care coordination and complex case management programs.
- Develop and enhance working relationships with community
providers with duties including but not limited to: Evaluate
disputes regarding Primary Care Physician performance; Inform and
educate the professional community about the company, and its value
- Participate in all aspects of regulatory compliance related to
Health Services functions with duties including but not limited to:
Reviewing requirements for State and Federal audits. KEY FOCUS:
- The CMO must have a strong working understanding of metrics and
medical analytics and must ensure that data and metrics are
accurate, current, well-defined and relevant.
- The CMO promotes coordination of patient care throughout the
hospital experience and during the post-discharge phase.
- The CMO must lead the necessary culture change from that of the
autonomous physician to that of physicians as members of a health
- The CMO translates administrative imperatives to the medical
staff and provides a clinical perspective to administrative vision
- Understanding the relationship of physician documentation to
final coding of the patient's diagnoses and HCC condition codes
increases the ability of the organization to be appropriately
reimbursed for the services and care provided.
- The CMO needs a good understanding of the physician
compensation processes, productivity incentive packages and the
concept of fair-market value, both for independent and employed
physicians and for individuals and groups.
- The CMO should be knowledgeable about the Stark laws.
- The key skill is the CMO's ability to gain the trust of the
various participants, to demonstrate honesty in communication and
integrity in interactions.
- Alignment of physicians, and indeed of all employees, is what
ultimately allows the organization to realize its strategic vision
and move forward in a sustainable manner. Required Qualifications :
QUALIFICATIONS AND EDUCATION: -- Possess a current, valid license
to practice medicine in the State of Florida. -- Board eligible in
a primary care specialty; skilled and knowledgeable in all areas of
general medicine. -- Working knowledge of state-of-the-art medical,
scientific and treatment methods. -- Working knowledge of current
medical, educational and psychosocial intervention procedures. --
Experience launching medical programs and dealing with program
audits. -- Solid, proven managerial and administrative skills and
expertise, preferably in environments featuring ethnically and
socially diverse staff and clients, and characterized by time
pressure and less-than-optimal staffing levels. -- Creative skill,
ability, resourcefulness and judgment in the analysis and solution
of medical, managerial and administrative problems. -- Experience
working with information technology staff to implement and manage
sophisticated practice management and/or electronic health software
packages. -- Excellent written and oral communication skills. --
Demonstrated leadership ability, team management and interpersonal
skills. -- Excellent analytical and abstract reasoning skills, plus
excellent organization skills. -- Mental/Cognitive Demands:
Establish and maintain effective work relationships with co-workers
and customers, maintain regular attendance, understand and carry
out a variety of oral and 5 written instructions, have knowledge of
proper English usage, grammar, punctuation, spelling, and
vocabulary, have the ability to learn office principles, practices,
and methods, understand filing -- systems, including numerical,
alphabetical, and chronological, learn a variety of procedures,
policies, and services of the assigned work unit or program,
perform assigned duties with efficiency and accuracy and maintain
confidentiality. -- Travel Demands: Locally and regionally, up to
30% of the time.
Keywords: Optimum RTS, LLC., Miami , CMO (Chief Medical Officer), Executive , Miami, Florida
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