Market Chief Medical Officer (CMO)

About the Company: Distinguished healthcare solutions provider assisting chronically ill patients Industry Hospital & Health CareType Non Profit Founded 1996 Employees 10,001+Categories Health Care Information Technology Specialtiesmedicaid managed care behavioral health care services medicare advantage snp pharmacy benefits management specialty pharmacy and long term services and supports Business ClassificationsB2CAbout the RoleThe Company is seeking a Market Chief Medical Officer to provide clinical leadership and guide the development and execution of initiatives that improve care quality and affordability. The role oversees medical management, utilization management, quality governance, medical policy, and regulatory compliance, while supporting provider network quality, access, and adequacy. The CMO collaborates across clinical and operational functions and serves as a physician-level contact for regulatory engagement. The position also builds partnerships with providers, health systems, community networks, and other stakeholders to advance clinical excellence and cost-efficient care. Candidates must have at least five years of active clinical practice in a medical specialty and five years of progressive leadership experience in medical management. Experience leading clinical, quality, and operational teams, working across Medicaid, Medicare, and ACA or Exchange programs, and applying quality improvement methods is required; managed-care Medical Director or CMO experience is preferred. An active, unrestricted Pennsylvania medical license is required. Applicants should bring strong strategic decision-making, analytical, communication, and relationship-building skills, along with knowledge of diverse, low-income populations and the ability to use data and technology to improve clinical and operational performance. Hiring Manager Title CHC Market President/CEOFunctionsMedical Care/Hospital Administration