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Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.
Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.
CONTRACT POSITION
15 hours per month
Overview: Chief Medical Officer is responsible for the clinical direction of the organization. The Chief Medical Officer is part of Complex Care Solutions leadership team and a subject matter expert in a diverse area of care delivery and quality arenas such as Medicare, Medicaid, and Commercial/ACA and Risk Adjustment.
Duties and Responsibilities:
Provide clinical guidance, support and education to the Product and Operations teams;
Actively engage in servicing existing clients through participation in Quarterly Business Reviews, representing Complex Care Solutions position in interactions with client auditors, and direct interaction with clinical leadership where necessary/requested;
Actively engage in business development opportunities including presenting Complex Care Solutions clinical capabilities to clients, prospective clients, partners, and prospective partners where necessary/requested;
Responsible for review and approval for any clinical policies and procedures;
Support Joint Quality Audit performance and delivery;
Review and approval of clinical training materials to internal staff, outsourced staff, vendors, and partners;
Participate in Quality Oversight Committees for all relevant products;
Participate in Compliance and Credentialing Committee;
Review and make determinations for clinical resources where credentialing committee support is needed;
Participate in senior management business and clinical strategy development and implementation;
Build and leverage cross functional collaborative relationships to achieve shared company goals;
Serves as a resource for clinical information, identification, provision and maintenance of best practices and evidence-based medicine practices;
Represent Complex Care Solutions with external associations and regulatory agencies; and
Maintains current certification and submits a copy of certification upon renewal.
Maintain compliance with Complex Care Solution’s policies, procedures, and mission statement;
Adhere to all confidentiality and HIPAA requirements as outlined within Complex Care Solutions’ Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data managed or services rendered in the undertaking of the position;
Fulfill those responsibilities and/or duties that may be reasonably provided by Complex Care Solutions for the purpose of achieving operational and financial success of the Company;
Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function; and
We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.
Job Requirements:
Valid medical license;
Minimum of 10 years clinical experience;
Minimum of 5 years in a management role;
Clinical risk management experience;
Good organizational skills;
Must be science- and data-driven;
Must have a results-oriented work ethic and a positive, can-do attitude;
Excellent written and verbal communication skills; and
Exceptional interpersonal and leadership skills.
Education:
A degree of Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.) from an accredited medical school; (Board certification is strongly preferred).
Physical Demands and Work Environment:
Sedentary work (i.e., sitting for extended periods of time);
Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
Subject to inside environmental conditions; and
Travel for this position will include less than 5% locally usually for training purposes.
Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications listed in a job description. If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply regardless. Inovalon is most interested in finding the best candidate for the job and you may be just the right person for this or other roles.
By embracing diversity, equity and inclusion we enhance our work environment and drive business success. Inovalon strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.
Inovalon is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.
The Company maintains a drug free work environment for all of its associates, which includes employees, contractors and vendors. It is unlawful for associates to manufacture, sell, distribute, dispense, possess or use any controlled substance or marijuana in the workplace and doing so will result in disciplinary action, up to and including termination of employment or the contracted relationship.
To review the legal requirements, including all labor law posters, please visit this link
Seniority level
Executive
Employment type
Full-time
Job function
Health Care Provider
Industries
Software Development
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