What are the responsibilities and job description for the Chief Clinical Officer position at Evolent?
Evolent partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work / life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing :
The Chief Clinical Officer (CCO) is a key leader in the Clinical Services organization reporting directly to the Chief Medical Officer. The CCO will lead the Clinical Operations team and work with medical director leadership to ensure consistent and efficient adjudication of clinical decisions. The CCO will be responsible for leadership, professional development, and performance of the clinical operations team. Within the Clinical Services team, the CCO will also have dotted line oversight over field medical director (FMD) operational responsibilities, provide strategic input into medical policy and advise new program development. Additionally, the CCO will work closely with enterprise partners, including product, core operations, technology, P / L owners, and compliance, to build new value-based specialty products.
The CCO will facilitate the delivery of high-quality, coordinated, and efficient care across all business units with an intent to achieve the quintuple aim. Clinical operations leaders will report directly to the CCO and field medical directors will have a dotted line reporting structure. The CCO will be the single point of responsibility for all clinical operations inclusive of nurse, physician, and shared services performance, and core work can be divided into three domains : clinical integration and standardization, innovation in approaches to specialty care affordability, and advancement in patient impact and quality, including health equity.
Clinical Management Responsibilities
- Accountability for operational performance of physician, nursing, and shared services staff in the utilization management value chain.
- Owns clinical rationale for utilization management decisions made by all clinical staff.
- Ensures consistent clinical decision making by nurse and physician reviewers to maximize clinical outcomes and to ensure adherence to regulatory standards.
- Makes final clinical decision on escalated reviews.
- Maintains expertise in domains that are clinically relevant to Evolent including radiology, musculoskeletal disease, oncology and cardiology.
Leadership Responsibilities
Desired Skill Set
Qualifications for the Role
The position is remote with 20% travel expected.
Technical Requirements :
We require that all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for further assistance.
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