PHYSICIAN V (CHIEF MEDICAL OFFICER)

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PHYSICIAN V (CHIEF MEDICAL OFFICER)

Salary

Depends on Qualifications

Location

Baton Rouge, LA

Job Type

Unclassified

Job Number

MVA/SAG/161523

Department

LDH-Medical Vendor Administration

Opening Date

08/17/2022

Closing Date

9/7/2022 11:59 PM Central

Supplemental Information


This position is located within the Louisiana Department of Health | Medical Vendor Administration | Director's Office | East Baton Rouge Parish.
 
  Announcement Number:  MVA/SAG/161523
  Cost Center:  305-2010100
  Position Number(s):  50646423
 
This vacancy is being announced as an Unclassified position.

WORKING JOB TITLE:  Chief Medical Officer

LICENSURE REQUIREMENT: VALID LA STATE BOARD OF MEDICAL EXAMINERS LICENSURE

WORKING JOB DESCRIPTION:

The Medicaid Chief Medical Officer (CMO) is a physician, board-certified by the American Board of Internal Medicine and provides medical and clinical support to the Medicaid Program.   The CMO will provide medical knowledge, clinical service and medical leadership services to contribute to and advance the vision, mission and objectives of the Louisiana Medicaid program.  

 

Medical knowledge services are those activities that require specific medical knowledge or access to/consultation with peers with that cannot be credibly accomplished without this level of professional standing. Medical leadership services are those that are identified, planned and implemented because of the professional qualification of the physician and his/her knowledge of the provider community and relationships to it. These activities require execution by or under the direction of a physician functioning as the Medicaid CMO. The leadership of this clinician is necessary to advance health policy making and/or influence practice as an outcome. Clinical service will provide direct experience in the care of Medicaid members. The experience will help identify practical barriers to achieving the objectives of the Louisiana Medicaid program, and lessons learned will inform continuous quality improvement in the program under the leadership of the CMO.

 

The CMO is responsible for the following functions:

 

Interpret existing clinical policies that define services covered by Louisiana Medicaid.

 

Assist in analysis, development and implementation of new clinical policies and criteria.

 

Confer with medical directors of the Medicaid managed care health plans to identify lessons learned and make recommendations for changes to address access to care

 

Prepare and deliver presentations to Medicaid provider groups and other stakeholders as identified by the CMO or the LDH Executive Management Team.

 

Critically analyze Medicaid quality measures and Medicaid managed care organization quality performance, in cooperation with Quality leadership and Medicaid personnel.

 

Assist with the development of quality measures that support innovation, advanced payment models, and population health, and facilitate stakeholder input for quality measures to be monitored and/or financially incentivized in the Medicaid program.

 

Collaborate with the diverse community of Medicaid managed care organization medical directors, medical professionals, and patient and community representatives.

 

 

Chair the Medicaid Medical Care Advisory Committee, maintain/participate on the Medicaid Quality Subcommittees to support the overall quality improvement objectives of the Medicaid program.

 

Provide medical consultation to Medicaid program staff on member-specific covered services issues.

 

Use clinical expertise to inform agency strategic priority around delivery system reform, including community engagement, care coordination, case management, and community health worker programs to advance population heath and value-based care.

 

Advance agency strategic priority of implementing and evaluating advanced payment models and payment reform.

 

Participate in Medicaid Executive Management Team to contribute to strategic vision, agency leadership, and short and long-term strategic planning for the Louisiana Medicaid program.

 

Report directly to the Medicaid Executive Director for assigned responsibilities and duties.

 

Represent the department in programmatic matters at various federal, state, and local hearings, meetings, and conferences

 

Work with state’s regional and parish administrative staff to ensure all related contracts are implemented according to federal and state laws/regulations in keeping with the guidance of the Medicaid program.

 

Supervise and direct the work of professional/subordinate staff

 

Establish performance goals, objectives, and evaluation criteria for employee performance. 

 

Schedule and participates in performance reviews and planning meetings and completes the formal performance appraisal.

 
No Civil Service test score is required in order to be considered for this vacancy.
 
To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
 
*Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.*
  
A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit
 
 For further information about this vacancy contact:
 Sanaretha Gray
 Sanaretha.Gray@la.gov
 LDH/HUMAN RESOURCES
 BATON ROUGE, LA 70821
 225 342-6477
 
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218. 

Benefits for unclassified employees are determined by the individual hiring authority.

01
Do you have a valid LA State Board of Medical Examiners licensure?
  • Yes
  • No
02
If yes, provide your licensure number. Type N/A if answered, no.
03
Are you board-certified by the American Board of internal Medicine?
  • Yes
  • No
04
If so, provide your certification/licensure number. Type N/A if answered, no

Required Question

Agency
State of Louisiana
Address
For agency contact information, please refer to
the supplemental information above.
Louisiana State Civil Service, Louisiana, 70802
Phone
(866) 783-5462
Website
http://agency.governmentjobs.com/louisiana/default.cfm
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