Your Future is our Future

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.

Position:Chief Medical Officer, Regional Operations

Position Summary:Be a key leader within the Lumeris Clinical Team, driving how population health and value-based care come to life across our provider partnerships. In this role, you’ll serve as the clinical lead for Lumeris’ innovative Provider Population Health Services Organization (PHSO), working side-by-side with health systems and physician groups to transform how care is delivered.

You’ll collaborate across a dynamic, entrepreneurial organization to shape clinical operations, physician engagement, and care model design, using data, strategy, and clinical insight to improve outcomes, performance, and patient experience. This is an opportunity to influence real change; helping providers move from traditional care models to smarter, more sustainable population health strategies.

Job Description:Job Description

Primary Responsibilities

Provides clinical leadership in the development, organization and governance of a clinically integrated network (CIN) of physicians or Population Health Services Organization.

Responsible for directing the improvement of clinical, quality, and financial outcomes for the operating partnerships.

Provides change management expertise in health systems, provider organizations, and physician practices.

Participates in the alignment of physician incentives, quality measures, and value-based contracts.

Maintains strong relationships with Provider PHSO Medical Directors and clinical leaders at partnering organizations.

Directs and monitors medical management activities and quality management programs as needed to maintain compliance with CMS, NCQA and other accrediting bodies.

Collaborates with the Provider Engagement team to move physician offices to accountable care model.

Collaborates with the Corporate Chief Medical Officer (CCMO) on clinical strategy, design and approach, facilitating communications, and managing risk on engagements.

Acts as an internal consultant on clinical program development and special projects for Lumeris customers.

Participates in ongoing product development activities related to Lumeris technologies and services.

Provides timely communications and progress reports regarding Lumeris activities and external client status.

Provides support to the Accountable Delivery Systems Institute as needed on matters relating to accountable care, physician engagement/alignment, payer and clinical transformation, and the use of top technology in support of the new models of care.

Participates in business development meetings with prospective clients to present the Lumeris value proposition.

Supports the Lumeris Advisory Services team in content development and supporting the delivery of V2Vs.

Contributes to the Clinical thought leadership of the organization through presentations, case studies and scientific articles.

Qualifications

MD. or D.O. degree, plus Board Certification

Current, unrestricted medical license

15+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role

7+ years of people, program, or project leadership experience or the knowledge, skills, and abilities to succeed in the role

5+ years of successful clinical practice experience

3+ years of health system, health plan or capitated provider experience with exposure to managing total cost of care, quality, and documentation and coding

Deep understanding of population health & managed care

Strong background in administrative clinical leadership

Solid understanding and experience with population health management strategies  

Knowledge of healthcare financing and the relation to various managed care products (HMO, PPO, Indemnity, and Medicare Advantage)

Knowledge of continuous quality improvement theory and practice

Excellent communication and problem-solving skills

Demonstrated track record of building productive working relationships internally and externally at all levels

Proven ability to positively impact results

Preferred

MBA or Master's Degree in healthcare or other related field

Prior operational consulting experience

Government sector experience (Medicare or Medicaid products)

Working Conditions

While performing the duties of this job, the employee works in normal office working conditions.

#LI-Remote

Pay Transparency:

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.

The hiring range for this position is:

$238,300.00-$350,575.00

Benefits of working at Lumeris

Medical, Vision and Dental Plans

Tax-Advantage Savings Accounts (FSA & HSA)

Life Insurance and Disability Insurance

Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)

Employee Assistance Program

401k with company match

Employee Resource Groups

Employee Discount Program

Learning and Development Opportunities

And much more...

Be part of a team that is changing healthcare!

Member Facing Position:

Location:Remote, USA

Time Type:Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

Disclaimer:The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.