Chief Medical Officer -Value Based Care

Overview

Duly's Value-Based Care organization is dedicated to transforming healthcare delivery by emphasizing quality outcomes and patient-centric approaches. We prioritize innovation, efficiency, and patient-centric approaches to improve health outcomes and control costs.

 

Value Based CareChief Medical Officer will champion Duly's commitment to value-Based Care. The VBC Chief Medical Officer will play a pivotal role in shaping and executing the VBC vision and strategy of Duly. This executive leader will collaborate with cross-functional teams to design, implement, and oversee innovative healthcare programs that prioritize value-Based Care principles.

 

The CMO will provide strategic direction, clinical expertise, and leadership to drive excellence in patient care outcomes and ensure alignment with out organization's goals. CMO will focus on the optimization of value-Based Care initiatives, to include leading with emphasis on execution, outcomes, continual improvement, and performance enhancement.

 

Ensures consistent and continual monitoring of quality of care delivered. Oversees communication strategy to the physicians regarding measures and current performance to include supportive process improvement guidance to physicians at all levels of performance. Promotes quality improvement programs to ensure that members receive timely, appropriate, and accessible healthcare.

Responsibilities

Clinical Strategy and Leadership

• Develop and articulate the clinical strategy in alignment with value-Based Care principles.
• Lead and mentor physicians to create a high-performing team of healthcare professionals
• Drive initiatives to enhance clinical quality, safety, and patient satisfaction.
• Provides leadership and ongoing direction of clinical intervention and program strategies.

 

Population Health Management

• Implement and optimize population health management programs.
• Analyze data and utilize insights to develop targeted interventions for improving patient outcomes.
• Collaborate with data analytics teams to track and report on key performance indicators.

 

Care Coordination and Integration

• Foster collaboration among multidisciplinary teams to ensure seamless care coordination.
• Integrate medical service across the continuum of care to enhance patient experience and outcomes.
• Identify and implement strategies to improve care transitions.

 

Quality Improvement

• Develop and implement quality improvement initiatives to meet and exceed industry standards.
• Utilize evidence-based practices to drive continuous improvement in clinical outcomes.
• Monitor and report on quality metrics, ensuring compliance with regulatory requirements.
• Optimize HEDIS/STARS performance; maintain oversight of utilization management.

 

Physician Engagement

• Cultivate strong relationships with medical staff and foster a culture of collaboration and accountability.
• Provide leadership and support to clinicians, encouraging innovation in care delivery.
• Drive physician education, clinical workflow, clinical policy, clinical playbooks in support of value-Based Care initiative

 

Strategic Partnerships

• Collaborate with external partners, payers, and providers to enhance value-Based Care initiatives.
• Represent the organization in relevant industry forums and establish strategic alliances.

Qualifications

Education:

• Medical Doctor degree required.
• Board Certified highly preferred.

 

Experience:

• 10 years of experience supporting Value-Based Care.
• Significant experience in a senior leadership role within and value-Based Care or accountable care organization required.

• In-depth knowledge of population health management, care coordination, and healthcare quality improvement required.
• Must have a strong understanding of healthcare policy, regulations, and compliance.
• Must be able to excel within communication with ability to engage and influence stakeholders at all levels.
• Proven track record of driving positive clinical and financial outcomes in a value-Based Care environment.
• Strategic thinking and business acumen with the demonstrated ability to align clinical strategies with business objectives.
• In-depth Knowledge of payor operations, managed healthcare systems, medical quality assurance, quality improvement and risk management.

Minimum Knowledge, Skills, and Abilities:

• Creativity: Ability to generate ideas and solutions to routine challenges and new ventures.
• Leadership: Appropriately optimistic, influential, and inspiring. Willingness to lead, take charge, and offer opinions and direction.
• Resilience: Effectively manages stress and maintains adaptability and flexibility in a fast-paced setting.
• Analytical Thinking: Ability to analyze information, compare, contrast, trend data and draw conclusions.
• Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to
• Communication: Ability to communicate effectively at all levels and across functions of the organization, think clearly, communicate concisely, and always collaborate.

Employment Type: FULL_TIME