FargoRecruiter
the smart solution for Fargo jobs

Chief Medical Officer

Company: Blue Cross Blue Shield Of North Dakota
Location: Fargo
Posted on: January 12, 2019

Job Description:

Requisition Number 19-0003 Post Date 12/17/2018 Title Chief Medical Officer City Fargo State ND 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. Requirements 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 Advanced 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 email

      This job posting will be closed 01/31/2019 at 8:00AM CST. No further applications will be considered. Apply Online Send This Job to a Friend BCBSND.COM - PRIVACY AND LEGAL -- BCBS ND

      Keywords: Blue Cross Blue Shield Of North Dakota, Fargo , Chief Medical Officer, Healthcare , Fargo, North Dakota

      Click here to apply!

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

      I'm looking for
      in category
      within


Other Healthcare Jobs


Travel Nurse - L/D RN - Rapid City, SD
Description: Labor and Delivery Registered Nurse RN -- We have a travel opportunity in Rapid City, South Dakota for a Labor and Delivery Registered Nurse RN . Check out the South Dakota Air and Space Museum, and (more...)
Company: General Healthcare Resources, Inc. - Travel Nursin
Location: Fargo
Posted on: 01/21/2019

Travel Nurse - L/D RN - Knoxville, TN
Description: Travel Registered Nurse RN --- ER -- Looking for a new travel nursing opportunity We have a great Labor and Delivery Registered Nurse RN positon in Knoxville, Tennessee. Job Details ul li 13-week (more...)
Company: General Healthcare Resources, Inc. - Travel Nursin
Location: Fargo
Posted on: 01/21/2019

Travel Nurse - Case Mgt RN - Victoria, TX
Description: Travel Registered Nurse RN - Case Manager Travel to Victoria, Texas for this fantastic Case Management Registered Nurse RN positon. Check out the Coleto Creek Park and Reservoir, Riverside Park, and (more...)
Company: General Healthcare Resources, Inc. - Travel Nursin
Location: Fargo
Posted on: 01/21/2019


Travel Nurse - OR RN - Pueblo, CO
Description: Travel OR Registered Nurse RN Spend your next travel assignment in Pueblo, Colorado for this great OR Registered Nurse RN positon -- Job Details ul li 90-day contract li GROSS pay range: 1,950 (more...)
Company: General Healthcare Resources, Inc. - Travel Nursin
Location: Fargo
Posted on: 01/21/2019

Travel Nurse - ER RN - Cordova, AK
Description: Travel ER Registered Nurse RN -- We have a wonderful travel opportunity in Cordova, Arkansas for an ER Registered Nurse RN . -- Job Details ul li 3-month assignment. li GROSS pay range: 1,700 (more...)
Company: General Healthcare Resources, Inc. - Travel Nursin
Location: Fargo
Posted on: 01/21/2019

Travel Nurse - PACU RN - Santa Maria, CA
Description: Travel PACU Registered Nurse RN We have a great travel nursing opportunity in Santa Maria, California for a PACU Registered Nurse RN .-- Job Details ul li 90-day contract li GROSS: 2,278/week (more...)
Company: General Healthcare Resources, Inc. - Travel Nursin
Location: Fargo
Posted on: 01/21/2019

Travel Nurse - OR RN - Newark, NJ
Description: Travel OR Registered Nurse RN -- Travel to Newark, NJ for this great OR Registered Nurse RN opportunity Job Details ul li 3-month assignment. li GROSS pay range: 2,000/week li 36 hours (more...)
Company: General Healthcare Resources, Inc. - Travel Nursin
Location: Fargo
Posted on: 01/21/2019

Travel Nurse - Tele RN - New York City, NY
Description: Travel Registered Nurse RN --- Telemetry We have a great travel Telemetry Registered Nurse RN opportunity in the greater New York City area. Things to do include Indoor Skydiving, Saxon Woods Park, (more...)
Company: General Healthcare Resources, Inc. - Travel Nursin
Location: Fargo
Posted on: 01/21/2019

Travel Nurse - Homecare RN - Burlington, VT
Description: Travel Homecare Registered Nurse RN As a leader in travel nursing, GHR Travel Nursing provides the best placements for you We have an opening for a Homecare Registered Nurse RN in Burlington, Vermont. (more...)
Company: General Healthcare Resources, Inc. - Travel Nursin
Location: Fargo
Posted on: 01/21/2019

Travel Nurse - Cath Lab RN - Seattle, WA
Description: Travel Cath Lab Registered Nurse RN Help the people who need it most while also going out on an adventure We have a great Cath Lab Registered Nurse RN opportunity in Seattle, Washington. Be sure (more...)
Company: General Healthcare Resources, Inc. - Travel Nursin
Location: Fargo
Posted on: 01/21/2019

Log In or Create An Account

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

Fargo RSS job feeds