Medrina is a pioneering organization founded, owned, and operated by physiatrists with a steadfast commitment to improving patient outcomes through the integration of advanced rehabilitative knowledge into skilled nursing facilities, rehab hospitals, and other healthcare settings. We are looking for a Chief Medical Officer (CMO) who will be responsible for the strategic direction and oversight of clinical programs, documentation management, and outcomes research, including development, implementation, market research and strategic partnerships. The CMO is expected to act as a senior mentor for the clinical workforce and is the medical policy decision-maker for the Company. The CMO will provide direction the Chief Clinical Officers and report to the Chief Executive Officer of Medrina. This is a remote position with CMO residing in eastern or central time zones.

Essential Functions

• Assure that patients receive the highest possible standard of care across all lines of medical services
• Act as a resource for medical practice issues within the Company
• Develop and promote evidence-based clinical pathways and guidelines
• Participate in utilization review and quality monitoring activities
• Support billing and coding compliance activities
• Develop and participate in continuous quality improvement activities
• Review the performance of physicians and other medical staff
• Help assure that all healthcare regulations and standards are met
• Keeping staff updated on healthcare regulations and standards
• Discover and implement ways to improve clinical services
• Coordinate communication between Company administration and the clinical workforce
• Assist with recruiting and mentoring physicians and other medical providers
• Participate in various activities that promote both the Company and clinical services
• Work with the Board and CFO on budgeting and other financial matters
• Develop and implement the strategic plan for disease management including database development, outcomes analysis, case management, and population management
• Oversee utilization management guidelines and decisions
• Support business development and marketing departments by meeting with key decision-makers, clients and prospects, as needed
• Support corporate General Counsel in risk management and contract evaluation
• Keep abreast of developments in PM&R and IM regulatory processes and payer systems
• The company reserves the right to add or change duties at any time

• Medical degree (MD or DO) and valid state license
• Master of Health Administration (MHA) or Master of Business Administration (MBA)
• Experience working in or with health insurance payers
• 10+ years clinical experience
• 5+ years of experience in an administrative, leadership role
• Quality Assurance and Performance Improvement experience
• Strong leadership and organizational skills
• Exceptional interpersonal skills
• Excellent verbal and written communication
• Passion for continued learning

Travel
Out-of-state or overnight travel is occasionally expected in this position.