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Community Behavioral Health · 6 hours ago

Deputy Chief Medical Officer

Philadelphia, Pennsylvania

Full-time

Hybrid

Director/Executive

7+ years exp

Community Behavioral Health is seeking a Deputy Chief Medical Officer (DCMO) to provide executive-level clinical and operational leadership for Philadelphia’s behavioral health Medicaid members. The DCMO will oversee clinical programs, ensure compliance with regulations, and lead initiatives to improve care delivery and population health outcomes.

Health CareHealth Diagnostics

No H1B

U.S. Citizen Only

Responsibilities

Provide direct oversight of all clinical programs and functions, including medical management, quality improvement, utilization management, and care coordination

Ensure clinical programs adhere to evidence-based practice standards, regulatory requirements, and accreditation standards

Monitor and evaluate clinical outcomes, patient safety metrics, and service delivery to drive continuous quality improvement

Leading peer review, appeals, grievance resolution, and case consultation to ensure fairness, consistency, and clinical appropriateness

Perform medical reviews

Make denial decisions based on medical necessity

Lead the integration of clinical operations with organizational strategy, aligning resources to advance population health goals and value-based purchasing arrangements

Partner with the executive team on strategic planning, financial planning, and clinical risk management, ensuring sustainable and high-quality care delivery

Develop, implement, and evaluate clinical guidelines, protocols, and policies to improve efficiency and effectiveness across all programs

Build, mentor, and lead a high-performing clinical workforce by recruiting, training, coaching, and advancing medical and clinical leaders

Foster a culture of clinical accountability, collaboration, and innovation across multidisciplinary teams

Champion diversity, equity, inclusion, and cultural competency in care delivery and leadership

Serve as a trusted clinical leader with providers, regulators, community partners, and member advocates

Represent the organization in external forums related to clinical care, managed care, and value-based care transformation

Qualification

MDDOBoard Certified in PsychiatryClinical LeadershipManaged Care ExperienceQuality ImprovementUtilization ManagementValue-Based Care ModelsStakeholder EngagementCultural CompetencyTeam Leadership

Required

Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO)

Board Certified or Board Eligible in Psychiatry (required)

Active Pennsylvania Medical License (or ability to obtain)

Minimum of 7 years of progressive clinical leadership experience in behavioral health, including direct oversight of clinical operations and quality programs

At least 3 years of executive or senior management experience leading large teams and complex clinical systems

Expertise in clinical oversight, utilization management, quality improvement, value-based care models, and system-level program development

The successful candidate must be a current Philadelphia resident or become a resident within six months of hire

All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future