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Chief Medical Officer

Direct Recruiters Inc.
San Diego, CA Full Time
POSTED ON 3/5/2025
AVAILABLE BEFORE 6/5/2025

Client Summary :

  • Leading Independent Health Solutions & Pharmacy Benefit Provider
  • Serves commercial health plans, government programs, employer groups, and millions of consumers.
  • Continuously invests, innovates, and partners to enhance healthcare and pharmacy benefits.
  • Key Benefits for Clients :

Improved clarity in healthcare and benefits

  • More coordinated and effective care solutions
  • Greater transparency and clinical oversight to manage costs
  • Increased flexibility, freedom, and choices
  • More engaged and empowered members

    • Position Responsibilities :

  • Lead and manage the clinical team, driving strategy and continuous improvement.
  • Develop and implement policies to enhance care, safety, and regulatory compliance.
  • Align clinical initiatives with business strategy, P&T guidelines, and market messaging.
  • Support sales, marketing, and product development with clinical expertise.
  • Build key industry relationships and represent the company at events (6-8 days / month).
  • Ensure seamless integration of clinical services across departments.
  • Drive performance, growth, and financial milestones.

    • Experience & Skills :

    Required Experience and Qualifications :

  • MD or DO with Board Certification required
  • 15 years in PBM, health plan, or related industry, with 15 years in leadership
  • Expertise in clinical efficacy, adverse event data, and study design analysis
  • Proven medical educator skilled in peer-to-peer engagement and thought leadership
  • Ability to articulate clinical, regulatory, and scientific strategies to executives, board members, clients, and staff
  • Exceptional executive presence, presentation, and communication skills
  • Deep knowledge of healthcare regulations, clinical guidelines, and pharmaceutical benefits management

    • Compensation : $450k-$475k, ESOP or stock options

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