
Chief Medical Officer - CMO - for Optum Community Care Services, CCS
- Eden Prairie, MN
- Permanent
- Full-time
- Strategic Clinical Leadership:
- Lead the development and execution of CCS's clinical strategy, ensuring alignment with CCS goals, federal regulations, and Optum Serve's mission.
- Oversight of Clinical Quality Programs:
- Direct the design, implementation, and evaluation of clinical quality initiatives, including peer review processes, patient safety programs, and performance metrics.
- Governance and Committee Leadership:
- Chair the CCS Clinical Quality Improvement Program Committee and oversee all clinical governance bodies.
- Clinical Operations Management:
- Supervise Medical Directors and other clinical leaders, ensuring consistent application of evidence-based practices and adherence to clinical standards.
- Regulatory and Contractual Compliance:
- Ensure all clinical activities meet federal, state, and contractual requirements, including CMS, VA, and Optum Serve consulting engagements.
- Innovation and Program Development:
- Lead the development of new clinical programs, including value-based care models, utilization management strategies, and integrated behavioral and physical health initiatives.
- Stakeholder Engagement:
- Serve as the primary clinical liaison to external and internal entities, fostering collaboration and trust.
- Clinical Risk Management:
- Oversee clinical risk assessments, adverse event reviews, and corrective action planning to ensure patient safety and mitigate liability.
- Data-Driven Decision Making:
- Utilize clinical data analytics to guide strategic decisions, monitor outcomes, and drive continuous improvement.
- Mentorship and Education:
- Provide mentorship to clinical leaders and staff, promoting professional development and clinical excellence.
- MD or DO with active, unrestricted U.S. medical license
- Board certification in Internal Medicine, Family Medicine, Surgery, Physiatry, or Emergency Medicine
- 15+ years of clinical experience, including 5+ years in a senior clinical leadership role
- Proven expertise in clinical quality, utilization management, and regulatory compliance
- Proficiency in data analysis and evidence-based decision-making
- Demonstrated success in leading multidisciplinary teams and managing complex clinical programs
- Proven exceptional communication, strategic thinking, and stakeholder engagement skills
- Willing or ability to travel up to 10%
- Advanced training in healthcare administration, public health, or clinical informatics
- Experience with RFI/RFP processes and federal contracting
- Familiarity with VA Community Care Network