Chief Medical Officer (CMO)
About the Company
Innovative AI & machine learning software vendor
Industry
Computer Software
Type
Privately Held, VC-backed
Founded
2016
Employees
1001-5000
Funding
$6-$10 million
Specialties
About the Role
The Company is in search of a Chief Medical Officer (CMO) to serve as a physician executive and clinical leader, with a focus on driving trusted client relationships, guiding payment integrity policy, and representing the clinical voice in product innovation. The CMO will be responsible for building partnerships with client medical directors, payment integrity executives, and senior payer stakeholders, as well as shaping payer-specific payment policies and providing clinical and coding rationale during client interactions. This role requires a strong background in payment integrity, reimbursement operations, and claims auditing, with expertise across various claim types and a deep understanding of payer adjudication rules. The ideal candidate for the CMO position at the company will have an MD or DO with an active license, at least 10 years of experience in the relevant fields, and a proven track record of executive-level client engagement. Key responsibilities include mentoring internal clinicians, guiding clinical playbooks, and shaping the product roadmap to ensure clinical content innovation. The CMO will also be expected to have a strong knowledge of industry standards and to collaborate closely with cross-functional teams to ensure that the company's outputs are clinically sound. Preferred qualifications include experience with pharmacy claims, PBM workflows, and advanced degrees such as an MBA, MPH, or MHA. The company is an equal-opportunity employer and is dedicated to fostering a diverse and inclusive workplace.
Hiring Manager Title
CEO
Travel Percent
Less than 10%
Functions
...Job Description Our client is seeking an experienced Concrete Finisher to join our team in the Greater Madison area. This position is responsible for the placement, finishing, and repair of poured concrete for commercial and residential projects, including floors, slabs...
...Office Assistant / Errand Runner Job Description Job Brief: An Office Assistant/ Errand Runner is responsible for performing a range of clerical and administrative tasks to support daily operations in an office setting. An Office Assistant is responsible for keeping...
...Mobile Associates (MA) work as a member of a Retail Team of Experts to bring the T-Mobile brand to life. They're brand ambassadors who build energy and excitement around our products and services. They are passionate about the connected world and thr Retail Sales, Mobile...
...position requires: Bachelors Degree in Education from an accredited college or university, with training and/or experience in teaching. Certification by the Illinois State Board of Education. Fluency to speak, read, and write in both English and Spanish (preferred...
...Position Overview Type of Position: Travel Description: Part-Time Registered Nurse - Long Term Care Position Overview Part... ...to help! Alerion can support your search for a direct hire, temporary, and temporary- to-hire position in the healthcare industry....