Remote Senior Medical Director (CMO) - Behavioral Health in New Mexico

Job Overview

We are looking for a dedicated and experienced physician leader focused on advancing behavioral health care. As the Senior Medical Director (CMO) for our health plan in New Mexico, you will play a pivotal role in enhancing mental health services and transforming patient care.

Key Responsibilities

• Provide strategic clinical leadership to the interdisciplinary Medical Management team, ensuring effective oversight, guidance, and training.
• Oversee the quality of utilization review determinations and manage appeals.
• Conduct medical necessity and peer-to-peer reviews to maintain high standards of care.
• Monitor various clinical programs, including case and disease management, to meet clinical objectives.
• Engage in collaborative case rounds and develop comprehensive case management plans.
• Analyze clinical program effectiveness and cost-efficiency through data evaluation.
• Foster relationships with external stakeholders, including health plan partners and state agencies.
• Guide Quality Improvement (QI) initiatives and ensure adherence to compliance standards.
• Participate actively in network credentialing and quality improvement committees.
• Recruit, train, mentor, and evaluate medical staff and physician advisors.
• Develop and manage the medical director’s budget and implement the Medical Action Plan (MAP) to enhance cost-efficiency.
• Establish and enforce national and local medical policies and procedures.
• Assess technology and clinical practice standards, ensuring the quality of clinical reviews and care plans.
• Collaborate with the network management team for integrated clinical approaches.
• Provide after-hours coverage as necessary and participate in RFP response development.
  
  

Required Skills

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited institution.
• Completion of an ACGME-approved residency program in the U.S. or Canada.
• At least 7 years of post-residency experience with substantial direct patient care.
• Clinical expertise relevant to the patient population.
• Unrestricted medical license in New Mexico.
• Strong leadership abilities with a proven track record in driving change.
• Experience in cost-benefit analysis, medical decision-making, credentialing, quality assurance, and continuous quality improvement (CQI) processes.
  
  

Qualifications

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) or equivalent international degree with necessary U.S. training.
• Specialized knowledge in Psychiatry, Psychiatric sub-specialty, Primary Care, Geriatrics, Palliative Care, or Physical Medicine.
  
  

Career Growth Opportunities

This position offers a unique pathway for professional growth, allowing you to advance clinical programs while mentoring and developing medical staff. Your contributions will significantly influence the landscape of mental health care.

Company Culture And Values

Our organization fosters a collaborative work environment focused on making impactful changes in patient care. We value leadership that enhances mental health services while prioritizing community engagement and strategic initiatives.

Compensation And Benefits

We provide a competitive salary range of \(222,380 - \)422,520 annually, aligned with experience and qualifications. Additionally, our comprehensive benefits package supports your physical, mental, emotional, and financial well-being, including various health, life, and voluntary options.

Employment Type: Full-Time