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Regional Medical Officer (CareMore) #PS6691 in Richmond, VA at Anthem, Inc.

Date Posted: 6/25/2018

Job Snapshot

  • Employee Type:
  • Location:
    Richmond, VA
  • Job Type:
    Health Care
  • Experience:
    At least 5 year(s)
  • Date Posted:

Job Description

Your Talent. Our Vision.  At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, it’s a powerful combination.  It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.
What Is CareMore?
CareMore is entering a new growth phase, as a proven care delivery model for the highest-risk.  We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.  We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients and currently serve over 150,000 patients in eight states across Medicare, Medicaid, and commercial populations.  We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience.  As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.
CareMore’s Primary Care & Collaboration division oversees strategy, operations, and care delivery in our primary care markets (Iowa, Tennessee, Connecticut), where CareMore builds and runs capitated primary care medical groups and currently serves over 22,000 high-risk Medicaid and Medicare patients, as well as our collaboration with Emory Health System, which brings the CareMore model to over 20,000 Medicare Advantage patients in Georgia.  The division also supports the development of new markets and models in the Primary Care & Collaboration area, including multiple new markets planned in 2018 and 2019.  Our comprehensive approach to care includes extensivists managing acute and post-acute episodes of care, primary care clinicians, behavioral health clinicians, care management & engagement with case managers and community health workers, and mobile home-based care.  We are continuing to evolve our model to effectively engage and care for complex patients and are building a team of passionate and execution-minded leaders dedicated to this mission.

Responsible for the clinical operations and medical staff within a designated region. Primary duties may include, but are not limited to:

  • Maintains and develops CareMores comprehensive healthcare delivery system.
  • Provides strategic and operational direction for the delivery of performance based medical management.
  • Manages budget and risk drivers.
  • Analyzes and reports business performance data to customers, senior management, and Board of Directors.
  • Analyzes local profit and loss performance.
  • Contributes to the internal and external health industry development efforts.
  • Performs clinical duties which include conducting rounds in the hospital, taking calls, reviewing cases and patient discharge plans, admitting patients, partnering with case managers on patient transfers, seeing patients at Care Centers and giving pre-op clearance.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

  • Requires a MD/DO; 5 years of experience as a hospitalist, including 3 years of administrative experience; or any combination of education and experience, which would provide an equivalent background.
  • Requires current unrestricted medical licensure in applicable state(s) and board eligibility or board certification; VA medical preferred.
  • For CareMore business units, satisfactory completion of a pre-placement Tuberculosis test is a requirement for this position.
  • AnEqualOpportunityEmployer/Disability/Veteran


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