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Family Practice Job in Sacramento, California
CMO Chief Medical Officer - Sacramento, California
Company:Inspire Healthcare
Profession/Specialty:Family Practice
Location:Sacramento, California, United States
Job Type:Full-time, In-person, Permanent
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Job Description
- Chief Medical Officer (CMO) position in a senior executive leadership role
- Full-time, day shift; salary range $325,000"$350,000 per year
- Key member of the senior executive team responsible for overall clinical vision and business strategy
- Provides medical oversight, expertise, and leadership across all divisions to ensure high-quality care
- Leads development and implementation of innovative clinical programs with plan sponsors and regulatory partners
- Spends at least 50% of time managing the authorization queue, similar to other Medical Directors
- Manages authorizations in a timely manner, meeting or exceeding turnaround requirements
- Oversees activities related to cost management, utilization review, quality assurance, and medical protocol development
- Supervises and participates in recruiting and credentialing physicians
- Partners with Utilization Management to improve medical management programs and integrate other clinical programs
- Reports to the CEO and/or governing body
- Attends board and committee meetings and monitors quality and appropriateness of care
- Provides guidance on performance guidelines and assists with policy and procedure development
- Participates in strategic planning, clinical peer review oversight, documentation, and care planning
- Assists in managing physician relations and representing physician interests
- Participates in adjudicating first-level provider appeals and addressing emergency issues
- Supports provider education and community relations
- Performs transactional activities including prior auth, concurrent review, retro review, and claim review
- Provides oversight of medical care management and utilization review across all offices
- Offers clinical guidance for complex medical decision-making and care coordination
- Ensures contractual and legislative compliance standards are met
- Assists in training physicians, pharmacists, case managers, and UM staff
- Develops proficiency with internal software and carve out programs (e.g., CCS, LEA)
- Coordinates with contracted health plans, county health agencies, and medical providers to implement programs and resolve case management issues
- Acts as a medical resource to staff and maintains professional affiliations to stay current in medical trends
- Upholds company policies, confidentiality standards, and contributes to a positive, safe work environment
- Supervises multiple Medical Directors
- At least 5 years of clinical practice experience required
- At least 2 years of managed care/health plan or medical group utilization management and quality improvement experience (e.g., NCQA, CMS, guideline development)
- At least 2 years experience with Medi-Cal/Medicare required
- Strong oral and written communication skills and ability to interpret complex guidelines
- Excellent active listening, critical thinking, and customer service skills
- Proven ability to solve advanced problems with minimal supervision and to work collaboratively
- Strong time management, organization, and multi-tasking abilities in a fast-paced environment
- Comfortable giving and receiving constructive feedback
- Professional presence with ability to represent the organization effectively
- Sacramento is the state's capital andhas over 450,000 residents
- It has plentiful amenities including anint'l airport and an NBA basketball team
- San Francisco is only 1.5 hours, Napa is 30 minutes and Lake Tahoe is 2 hours
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About Inspire Healthcare
It’s Personal With Us
In a world that’s increasingly automated, where it’s difficult to get a live person on a customer service phone line, where we tweet and update our Facebook feeds and send emails rather than actually talking to one another, here at Inspire Healthcare we believe in a couple of things:
- We believe that personal relationships are imperative.
- We believe that personal relationships are imperative.
In short, we believe in our company’s name: Inspire Healthcare.
“This is all well and good,” you’re probably saying to yourself. “But everyone says this. Show me this inspiration!”
What Inspire Healthcare Provides Our Clients and Candidates
We offer our physician and healthcare staffing services nationwide, yet we’ll get to know each other so well, we’ll give you our contact information and cell phone numbers so that you may call us anytime, any day, anywhere. We’re available to you 24/7/365.
These personal relationships mean we’ll get to know you better than any other staffing service ever has before. We decided long ago to focus our energies on recruiting physicians and other healthcare professionals for a primary care setting. This focus means we don’t wander about looking for “the next big thing.”
Instead, that “big thing” includes your needs, your goals and providing you with the utmost in personal attention and customer service.
Honesty, Objectivity, Competency and a Focus on Customer Service
That’s Inspire Healthcare
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