CMO Aetna Better Health of Michigan

Job Purpose and Summary:

The ABHMI CMO will serve as a strategic and operational partner to the Health Plan CEO, COO, CFO and other executive team members in Medicaid driving clinical excellence, achieving measurable health outcomes, and supporting quality and medical management in a highly matrixed environment. The CMO will also support national strategic processes and priorities as well as conceptualization, design, and implementation of strategic priorities for Medicaid.  The State CMO will be responsible for cost containment outcomes and defined KPI’s and overall growth and success of the plan through effective clinical leadership.

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1. Accountable for overall plan results and the delivery of high-quality cost-effective products and services that strategically align to the goals of the State partner.

2. Ensures members get the right health care treatment for their needs, working to eliminate low value care, over and underutilization of health care services in alignment with the Quintuple AIM.

3. Participates with plan leaders in identification and developing the appropriate enterprise and local strategies to fulfill plan business goals and growth imperatives.

4. Provide clinical expertise to shape the integrative model of physical, behavioral, and health related resource needs to support holistic care and optimal health outcomes.

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Required Qualifications:

1. At least five years’ experience in the health care delivery system e.g., clinical practice and health care industry.

2. At least three years of experience Medicaid and managed care experience.

3. Must be a physician with a current, unencumbered license through the state of Michigan.

4. Board Certification in a recognized specialty including post-graduate direct patient care experience

Education: MD or DO Required Board Certification required in an ABMS or AOA recognized specialty.

Preferred Qualifications: 1. Demonstrated experience in population health management and Managed Care. 2. Passion and ability to influence and drive better outcomes in healthcare delivery. 3. Understanding of Value Based Contracting/Accountable Care and how this relates to improving the quality of care for our members through collaboration with the provider community.