Chief Medical Officer

Chief Medical Officer – Project H.O.P.E.

The Chief Medical Officer (CMO) provides executive‑level oversight of all clinical services at Project H.O.P.E., ensuring the highest standards of quality, safety, and compliance across the continuum of care. The CMO is responsible for provider supervision, clinical policy development, quality improvement, and clinical strategy implementation. In addition, the CMO serves as the Risk Manager, overseeing risk management functions, including the management of medical malpractice claims and FTCA compliance.

The CMO ensures that the health center meets HRSA requirements, promotes integrated care, and drives outcomes‑based performance across departments.

• Lead the delivery of safe, effective, and equitable clinical care services.
• Provide oversight and supervision of all licensed providers, including physicians, APRNs, and PAs.
• Maintain compliance with all HRSA, FTCA, and NJ ambulatory care regulations.
• Direct the organization’s Risk Management Program, including claims management, response, and mitigation.
• Develop and maintain clinical protocols, standards, and care pathways aligned with evidence‑based practices.
• Drive a culture of continuous quality improvement and performance accountability.
• Ensure successful credentialing and privileging processes for all clinical providers.
• Represent Project H.O.P.E. at local, state, and national clinical, quality, and policy forums.
• Serve as the lead liaison to the Board of Directors for all clinical, quality, and risk matters.

• Provide direct leadership to all clinical teams and clinical department heads.
• Serve as the collaborating physician for nurse practitioners and physician assistants.
• Participate in strategic planning and support the CEO in aligning clinical operations with organizational goals.
• Guide the development of clinical care models that reflect integration, patient‑centeredness, and health equity.

• Serve as the Designated Risk Manager and oversee all aspects of risk identification, analysis, and mitigation.
• Lead the organization’s response to potential and active claims, including medical malpractice, FTCA claims, and complaints.
• Ensure preservation of documentation, coordination with the Office of the General Counsel, and reporting in accordance with HHS/FTCA policy.
• Develop and enforce clinical incident reporting and investigation protocols across clinical departments.
• Monitor clinical incidents and adverse events and lead root‑cause analyses and resolution plans.
• Oversee monthly risk and compliance meetings and ensure staff are educated on risk procedures.

• Lead Quality Assurance and Performance Improvement (QAPI) activities, serve as chair of the center’s quality and risk committees.
• Ensure compliance with UDS clinical measures, FTCA deeming, and PCMH accreditation.
• Oversee the Peer Review program and implementation of corrective action when needed.
• Ensure timely completion and reporting of quality data.
• Serve as the lead for clinical documentation, audit readiness, and EMR improvement efforts.

• Supervise the on‑call provider rotation and emergency medical response processes.
• Oversee infection control, patient safety, and clinical equipment policies.
• Support integration of behavioral health, substance use treatment, and enabling services into primary care workflows.
• Ensure timely access to care through oversight of provider scheduling and productivity monitoring.

• Ensure providers are credentialed, privileged, and meeting continuing education standards.
• Oversee clinical onboarding and orientation for new providers.
• Foster a culture of lifelong learning and clinical excellence across all disciplines.

• Serve as a key member of the executive leadership team.
• Develop and maintain productive partnerships with external agencies and healthcare networks.
• Participate in board meetings and provide reports on clinical and risk‑related topics.
• Represent the organization in public forums, grant initiatives, and community engagements.