Company Statement
For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.
Chief Medical Officer
LEADERSHIP EXPECTATIONS :
- Strategic Thinking - Adapt to changes in the marketplace. Identify short and long-term functional goals and strategies. Lead change efforts in redefining how to serve customers.
- Organizational Development - Implement organization structure and communicates roles/accountabilities. Identify, develop, and engage functional talent. Identify workforce gaps and develop talent to fill gaps. Hold Directors accountable for developing others and managing performance. Identify key talent/high potentials and inform Senior Leaders. Recognize and celebrate success.
- Transparent Communication - Constantly discuss business strategy with functional leaders; ensure employees understand how what they do links to strategy. Frequently cascade information up and down the organization. Model transparency with dashboard/metrics. Clearly and effectively communicate.
- Lives the Values - Make decisions that support the values. Demonstrate the values in daily activities. Hold Directors accountable for living the values. Place Company and team above self.
- Continuous Improvement - Set stretch goals that improve performance. Take measured risks and develop contingency plans, when needed. Develop new ways of getting work done that supports innovation efforts. Proactively work to improve processes. Promote and reward efforts to make the work environment open to new ideas and thinking. Continuously enhance and improve own contribution.
- Accountability - Hold self and Directors accountable for achieving results. Identify and remove obstacles to getting things done.
Make decisions in timely manner. Display ability to make difficult decisions.
SUMMARY OF POSITIONAL RESPONSIBILITIES :
- Provide leadership and direction to fulfill the EmblemHealth (EH) mission of providing access to affordable quality health coverage. Develops short- and long-term strategies that improve medical outcomes and affordability of member care. Promotes wellness and ensures programs of prevention, education and outreach to members and providers are consistent with EH’s mission, vision and values.
- Develops and implements medical policies and monitors progress against goals and objectives. Reviews and influences medical utilization, cost and quality outcomes. Develops and implements action plans based upon data and information relative to health care cost trends. Guides leadership and staff, including providing medical education and clinical development to plan staff and provides direction relative to plan philosophy.
- Oversees the development of budgets and staffing plans, assuring the adequate allocation of resources to the various functions. Recruits, develops, and retains professionals and staff who are focused on quality and service for the member and provider.
- Collaborates with colleagues in reviewing existing and developing new programs which support the effectiveness of healthcare delivery within the network of professional providers, facilities and vendors.
- Represents the Office of the CMO internally and externally at medical group meetings, industry trade groups, conferences, etc. Supports other areas in implementing cross-departmental changes. Develops goals with staff to ensure linkage with overall organizational goals. Assures conformance with legal and regulatory requirements. Represents EmblemHealth to regulatory agencies on medical matters and serves as the key contact for regulators on medical policies and compliance.
- Keeps abreast of competitor capabilities and remains alert to trends and future policies as they relate to changes which might impact the business. Maintains up-to-date knowledge of new information and technologies in medicine and their application to EmblemHealth.
- Set the strategic direction for the enterprise’s mainstream pharmacy business by providing leadership for all pharmacy programs including patient care, research, academic training and business affairs.
- Responsible for all aspects of the enterprises Pharmacy Services including strategic planning, business and operational oversight, business development, maintaining internal and external collaborative partnerships, regulatory oversight and planning and continuous improvement activities to deliver exceptional financial outcomes.
- Provides leadership and establishes productive relationships with Senior Leadership, medical staff, and department heads to optimize all aspects of medication management and formulary management across the enterprise.
DELIVERABLES :
- Makes significant contributions towards EmblemHealth’s short- and long-term business initiatives which include Operating Income, Administrative Expenses, Medicare & Medicaid ratings, and Net Promoter Score performance. [specific metrics and benchmarks to be provided]
- Identifies, hires, & trains staff members, developing them into strong leaders and creating high-performing, self-directed teams. Effectively plans for succession planning ensuring talent pipeline.
- Acts as change agent to drive and effect organizational change ensuring key deliverables are met. [specifics to be provided]
EDUCATION AND RELEVANT EXPERIENCE :
- M.D. or D.O. degree with Board Certification (Required)
- Minimum 5 years of clinical practice (Required)
- Minimum 15+ years of managed care experience (Required)
- Current, unrestricted physician license to practice (Required)
- Knowledge of the clinical practice of medicine, health care delivery systems, utilization methods and treatment protocols (Required)
- Knowledge and understanding of managed care principles, industry evolution and physician reimbursement (Required)
- Experience articulating a vision, garnering business buy-in, carrying out corporate-wide projects, delegating responsibility, and holding teams (and oneself) accountable for results (Required)
- Effective communication skills (verbal, written, presentation, interpersonal) with all types/levels of audience (Required)
- Proficient in MS Office (Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc.) (Required)
- Ability to work successfully with key stakeholders (Required)
Security Disclosure
If you are offered a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation email will come from “HRTalentAcquisition” with the subject line: “Offer of Employment for (job title)” – Please respond online”.
We never ask you to join a Google Hangout, request you to purchase your own equipment or pay to apply. We do not send email from a third-party email service such as Yahoo or Gmail.
Pay Disclosure
A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.
EEOC Statement
We are committed to leveraging the diverse backgrounds, perspectives, and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy or related condition, marital status, national origin, disability, protected veteran status or any other characteristic protected by law.
Sponsorship Statement
Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, EmblemHealth may provide work visa sponsorship for certain positions.