the smart solution for Fargo jobs

Chief Medical Officer

Company: Noridian Healthcare Solutions
Location: Fargo
Posted on: May 19, 2019

Job Description:

Job Summary

The Chief Medical Officer is responsible for providing strategic leadership and serves as a medical expert for Blue Cross Blue Shield of North Dakota (BCBSND). This position has overall responsibility and accountability for advising the strategic direction of clinical integration, quality management, and health cost management. The Chief Medical officer oversees the development and maintenance of medical policy and other medical guidelines affecting members. Proactively identifies, evaluates and advances innovative solutions and strategies surrounding progressive approaches to healthcare delivery that enhance the patient experience, improve quality and reduce unnecessary medical expenditures.

Essential Functions

Directs, leads and oversees staff in accomplishing work objectives within the unit(s). Coaches, motivates, rewards and recognizes subordinates. Sets clear goals, objectives and performance expectations and holds employees accountable for achieving results.Provides strategic leadership by combining business acumen and clinical credibility to bridge the gap between administrative and subject matter expertise for effective execution of critical programs.Effectively collaborate with other internal functional areas such as Medical Management Network, Healthcare Analytics and Marketing in developing, monitoring and continually evolving healthcare programs that focus on enhancing the patient experience, improving quality and reducing unnecessary medical expenditures. Reviews and determines medical necessity and appropriateness for pre-authorizations, prior approvals, referrals and diagnosis-related group (DRG) validation.Oversees the development and implementation of clinical guidelines, protocols and care pathways.Optimizes healthcare data and metrics to identify opportunities to drive improvements in healthcare delivery.Represents BCBSND to clients, health systems and other external customers in areas of clinical, quality and healthcare services. Assesses the effectiveness of quality improvement efforts designed to improve clinical performance, making recommendations to address healthcare costs and care initiatives.Promotes information sharing, benchmarking, clinical innovation, and best demonstrated practice identification.Knowledge, Skills and Abilities Strategic Focus

Advanced Specialized Technical Skills

Advanced Medical Review Expertise

Advanced Consultative/Advisory Approach to Clients

Advanced Communication (Verbal/Written)

Advanced Quality Focus


Education Requirements Required: Doctorate

Preferred: Doctorate Field(s) of Study: Doctor of Medicine Degree.

Experience Requirements

Required: Minimum of 10 Years

Preferred: Minimum of 12 Years Experience Details: Minimum of 10 years of clinical experience, preferably with a general medicine field (e.g. Internist, Family Medicine, Pediatrician) or General Surgeon and 7 years of business development experience. Certification, Licensures& Registration Requirements Title: Current, unrestricted MD or DO License in the state of North Dakota (ND) State or Agency: Board certification by a medical specialty board approved by the American Board of Medical Specialties or the American Osteopathic Association

Active credentials will need to be verified prior to hire or transfer into this position, and incumbent's license will need to remain active and in good standing while employed in the role.

Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

Other Information

Job Posting Policy 6.05

New employees with Blue Cross Blue Shield of North Dakota will be eligible to apply for positions within their assigned department after successfully completing a 90-day review. For positions outside your department, you must attain a minimum of six months of service before you can apply.

Equal Opportunity Employment

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.

For questions, please emailcareers@bcbsnd.com

This job posting will be closed 6/15/2019 at 8:00AM CST. No further applications will be considered

PandoLogic. Keywords: Chief Medical Officer, Location: Fargo, ND - 58106

Keywords: Noridian Healthcare Solutions, Fargo , Chief Medical Officer, Executive , Fargo, North Dakota

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Executive Jobs

14G Air Defense Battle Management System Operator
Description: 14G Air Defense Battle Management System OperatorJob ID: Job Views: 16Location: GRAND FORKS, North Dakota, United StatesZIP Code: 58201Job Category: EngineerPosted: 11.15.2018Age Requirements: Must be (more...)
Company: Army National Guard
Location: Grand Forks
Posted on: 05/20/2019

Technical Director
Description: Institution in the Education sector. ul li Working with UND Safety Office, develop and monitor safety, and security procedures. li Together with Scenic Designer, Costume Designer, and Chair, establish (more...)
Company: Frontline Technologies Group LLC
Location: Grand Forks
Posted on: 05/21/2019

Software Engineering Manager
Description: Forum Communications is hiring a Software Engineering Manager to join our growing team. This is a leadership opportunity with a great local company that will help shape the future
Company: Forum Communications Company
Location: Fargo
Posted on: 05/24/2019

TSHD Chief Officer
Description: Short summary Looking for a temporary job as
Company: Atlas professionals
Location: Fargo
Posted on: 05/24/2019

Retail Assistant Store Manager
Description: DXL Group, the largest specialty retailer of men's XL apparel, is looking for a Retail Assistant Store Manager who is committed to building and sustaining long term relationships with our customers by (more...)
Company: Destination XL
Location: Fargo
Posted on: 05/17/2019

Facility Operations Manager
Description: ul li Creates and/or implements practices, policies and procedures to ensure operations comply with relevant legislation, regulations and/or standards and directs the activities of subordinates through (more...)
Company: Job Juncture
Location: Grand Forks
Posted on: 05/24/2019

Physician: Physiatrist Medical Director Opening in North Dakota - JOB-
Description: A physiatrist medical director is needed at an established hospital in North Dakota, so the facility is accepting new candidates. The schedule is Monday to Friday, 8 am to 5 pm with no call. Academic (more...)
Company: CompHealth
Location: Fargo
Posted on: 05/21/2019

Sales- Account Manager- Fargo, ND
Description: SALES - ACCOUNT MANAGER - FARGO, ND br br Fargo, ND br Reference No: 12624 br br What 's The Role br br We re looking for account managers from all different backgrounds to join our regional (more...)
Company: Hilti North America
Location: Fargo
Posted on: 05/23/2019

Description: S S Transport has an immediate opening for a Manager. Be a part of our
Company: s&s transport
Location: Grand Forks
Posted on: 05/19/2019

Physician: Physiatrist Medical Director Opening in North Dakota - JOB-
Description: Physician: Physiatrist Medical Director Opening in North Dakota - JOB- A physiatrist medical director is needed at an established hospital in North Dakota, so the facility is accepting new candidates. (more...)
Company: CompHealth
Location: Fargo
Posted on: 05/21/2019

Log In or Create An Account

Get the latest North Dakota jobs by following @recnetND on Twitter!

Fargo RSS job feeds