Chief Medical Officer- MDLive- Evernorth

Location

Location:

Willing to consider any Cigna onsite location in the U.S.

The CMO for MDLive will report to the Vice President of Clinical and Operations for MDLive. The CMO will oversee clinical operations and ensure clinical quality, patient safety, provider satisfaction, risk management, operational excellence, and financial success. The role involves clinical leadership, product strategy input, and scaling medical leadership.

Support the President and MDLIVE senior leadership team in achieving financial and operational targets consistent with MDLIVE’s 3-5-year plan.

• Ensure stability of unit economics by maintaining appropriate visit metrics and significantly reducing cost per visit.
• Own and continuously improve/update the clinical model for all programs for competitiveness, quality, efficiency and affordability.
• Provide clinical leadership of the MDLIVE physician network, medical staff and programs throughout MDLIVE including overseeing appropriate number and type of medical directors.
• Partner with Product Leaders to provide input & guidance into product roadmap from a clinical standpoint.

Ensure the highest quality of clinical care.

• Leverage physician scorecards to drive IHI “Triple Aim” continuous quality improvement, conducing monthly individual evaluations against the following metrics: antibiotic rates, credentialing/licensing/training, patient satisfaction and coverage/scheduling adherence.
• Consistently meet patient satisfaction/NPS score goals.
• Provide ongoing specialized training in communication and diagnosing patients over the phone and through online video to all employed and network physicians.
• Work with the Chief Operations Officer to establish and maintain an in-sourced physician credentialing process.
• Adhere to established HIPAA, NCQA, URAC and any other applicable guidelines and ensure program outcomes are available to meet these standards and clinical quality measures and able to demonstrate MDLIVE’s value proposition.
• Ensure provider community complies with all local, State, Federal and other regulatory requirements as well as nationally recognized standards of care.
• Ensure products and services provided by the company are compliant with required regulations.
• Continually stay abreast of compliance developments in the healthcare and telehealth space and update internal procedures, policies and documentation accordingly.
• Act as the owner of all patient safety related matters.
• Prepare reports for and escalate relevant matters to the Compliance and Quality Committee of the Board.

Build an engaged provider community, both employed and with a network of physicians which increases efficiency in delivery of care.

• Grow the preferred and committed provider network by building strong relationships with the providers.
• Continually optimize per visit economics by growing provider network.
• Build in services and processes to make the provider visit more efficient (improving patient intake, reducing average visit time).
• Capture provider-level cost savings by optimizing physician model (i.e. right levels of employed vs. contractual providers).
• Support development of a Value-Based Care strategy, incorporating areas such as: lab testing, clinical service lines specialty pharmacy, chronic care management.
• Work with product team to drive prioritization and design of physician portal requirements.

Continuously improve consumer and provider experience when using the MDLIVE platform.

• Assist with analytics-driven improvements to platform, including additional automation and enhanced service offerings, working with payors to ensure a seamless consumer and provider UX.
• Improve provider experience by optimizing volume, quality, efficiency, incentives and overall satisfaction.
• Improve the patient experience by optimizing access, quality and satisfaction.
• Improve the client experience by optimizing quality, costs/ROI, and satisfaction.

Ensure MDLIVE has the quality and depth of medical talent required to successfully scale.

• Define the organizational structure that will best support attainment of strategic and financial goals, and ensure there is the right financial and operating discipline in the…