Lumeris

Lumeris

Chief Medical Officer, Essence Healthcare

Remote, USA · Exec · Full-time

No sponsorship$238k-$351kDetected 30 days ago
LeadershipCommunicationProblem SolvingPublic Speaking

Stay score

odds of building a lasting career here

59Sponsors, lottery-bound
Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds (Level IV)94
Fits your clock70

Sponsors, but it's cap-subject — you still face the weighted lottery (~61% per draw at Level IV). Good if you win; have a cap-exempt backup on your list.

Lottery odds assume a STEM candidate.

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About the role

  • Responsible for overseeing and coordinating all clinical aspects of the health plan, including medical and pharmacy management, utilization review, and initiatives to ensure care and services provided align with evidence-based guidelines and best practices.
  • Ultimately responsible for medical cost management.
  • Provides strategic direction and clinical expertise to guide policy, programs, and overall healthcare delivery.

Responsibilities

  • Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person.
  • Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.

Requirements

  • Demonstrated experience in a successful clinical practice
  • Knowledge of continuous quality improvement theory and practice
  • Credit Check Required:
  • All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine.
  • If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.
  • The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required.
  • Current, unrestricted medical license
  • Substantial Medicare Advantage experience
  • Proven health system, health plan or capitated provider experience with exposure to managing total cost of care, quality, and documentation and coding
  • Deep understanding of population health & managed care
  • Strong background in administrative clinical leadership
  • Solid understanding and experience with population health management strategies
  • Knowledge of healthcare financing and the relation to various managed care products (HMO, PPO, Indemnity, and Medicare Advantage)
  • Demonstrated track record of developing productive working relationships internally and externally at all levels

Nice to have

  • MD. or D.O. degree, plus Board Certification

Skills

  • 15+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role
  • 7+ years of people, program, or project leadership experience or the knowledge, skills, and abilities to succeed in the role
  • Excellent communication and problem-solving skills

Compensation

  • Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role.
  • In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position.
  • $238,300.00-$350,575.00

Benefits

  • Medical, Vision and Dental Plans
  • Tax-Advantage Savings Accounts (FSA & HSA)
  • Life Insurance and Disability Insurance
  • Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
  • Learning and Development Opportunities

Company info

  • Your Future is our Future At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members.
  • That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry.
  • We're excited to consider every qualified candidate authorized to work in the United States, although we are unable to sponsor visas for this role at this time.
  • Acts as an internal consultant on clinical program development and special projects for Lumeris customers.
  • These rewards are based on a combination of company performance and individual achievements.
  • At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members.

Equal opportunity

  • Lumeris is an EEO/AA employer M/F/V/D.

Visa & Work Authorization

  • We're excited to consider every qualified candidate authorized to work in the United States, although we are unable to sponsor visas for this role at this time.
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This listing is sourced directly from Lumeris's careers page and normalized into a canonical job model.