SVP, and Chief Medical Officer

Start the day excited to make a difference...end the day knowing you did. Come join our team.

Essential Functions and Responsibilities:

Patient Experience:

• Works in collaboration with the Senior Leadership team as well as the Patient Experience Team to provide an environment that focuses on a positive patient and associate experience every time.
• Recognizes the importance of patient/staff safety precautions as it relates to specific departments, the organization, and areas of responsibility.
• Collaborates with Patient facing departments, clinicians, and medical staff on precaution utilization and supports appropriate procedures to enhance patient/staff safety in daily operations.
• Participates in Senior Leader Experience Rounding and all applicable reporting and follow up.
• As a member of leadership, demonstrates and always supports our mission, our vision, our values, and our standard of behavior.

Performance Improvement:

• Participates in the organization's performance improvement program and practices; actively assists in improving performance based on results obtained from patient satisfaction/PI activities.
• Where appropriate, participates in Performance Improvement activities, including team membership.
• Fosters a High Reliability and an operationally excellent philosophy.

Leadership and Operational Excellence:

• Fosters an environment of accountability by applying consistent and fair practice in day-to-day oversight of areas of responsibility.
• Leads by example upholding the highest level of excellence in leadership standards and applications.
• Integrates organizational standards of performance into department strategies and processes.
• Supports all operational excellence initiatives ensuring full participation of in all in-services, training programs and following up to ascertain that leaders are applying consistent standards of practice.

Executive Oversight and Operations:

• Provide strategic leadership and direction to the medical and health system staff, ensuring the highest level of patient care and safety.
• Establish and maintain clinical best practices, protocols, and guidelines to achieve optimal healthcare outcomes.
• Oversee medical staff recruitment, hiring, and performance evaluation to ensure a competent and motivated workforce.
• Develop and implement quality improvement initiatives, patient safety programs, and risk management strategies.
• Collaborate with other executives and department leaders to develop and execute the organization's strategic goals and objectives.
• Maintain a positive and collaborative relationship with medical staff, fostering a culture of teamwork, professionalism, and continuous learning.
• Stay updated with the latest medical advancements, industry trends, and regulatory requirements, ensuring compliance and driving innovation.
• Represent the organization in medical advisory boards, professional associations, and community events.
• Manage the medical department's budget, resources, and inventory, optimizing efficiency and cost-effectiveness.
• Participate in the development and implementation of policies and procedures related to healthcare delivery and patient care.
• Oversees the Patient Safety and Quality initiatives of the organization ensuring compliance with our high reliability standards.
• Governs the Medical Staff bylaws of the health system and participates in all applicable board level committees.

Auditing and Policy Compliance:

• Coordinates activities in collaboration with the Regulatory Department, with both the Internal Audit function and the External Audit function to ensure proper internal audit controls are in place.
• Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required (i.e., self-disclosures).
• Works with the Compliance Officer to provide reports on a regular basis, and as directed or requested, to keep the Risk Enterprise Committee of the Board and senior management informed of the operation and progress of compliance efforts.
• Serves as Executive level sponsor and participant on QMAC, Medical Executive and all other board level as well as internal committees as appropriate.
• Serves as a key approver on all physician related contracts for independent and group contracts.

• Ensures that all policies and procedures are communicated effectively to all staff and the organization as a whole; provides follow-up, as necessary.
• Monitors staff to ensure that required tasks are performed in a manner prescribed by policy and procedure.
• Maintains responsibility for interpreting regulatory compliance mandates for all assigned areas.

Strategy and Growth:

• Participates in the growth and strategy initiatives of the health system. Maintains oversight of the capital budget needed for future growth and development projects.
• Ensures financial governance of all pending acquisitions or mergers.
• Develops clinical objectives and the implementation of clinically based programs that aid the system in reaching its long term strategic as well as short range operational objectives.
• Manages and integrates the various areas within clinical operations to yield goal specific departmental results. Evaluates the changing demographic, legal and technical developments in the field and develops new programs to ensure compliance with laws and assure continual improvement of the services provided by the department.

• Facilitates empowerment of management and workforce.
• Ensures continued growth, stability and compliance of the Graduate Medical Education Program.

Financial Oversight:

• Prepares in collaboration with reporting leadership, the annual departmental operating and capital budgets for respective areas of oversight within established guidelines; assures adherence to budgetary policies.
• Effectively manages not only organizational resources but departmental resources within departmental budgets under areas of oversight.
• Monitors key departmental cost areas for containment ideas, solutions, and programs.
• Analyzes financial statistical reports; recommends changes to improve financial operations; implements necessary actions.
• Partners with Human Resources and Regulatory on effective management of physician employment contracts and compensation.

Human Capital:

• Supports all Great Place to Work initiatives to foster a highly engaged associate environment.
• Ensures all performance reviews, engagement plans, associate rounding are completed.
• Maintains visibility as a leader attending associate related events.
• Conducts Associate rounding and supports all staff related engagement and recognition programs.

Quality Assurance and Safety:

• Participates in all organization led quality initiatives.
• Maintains a safe, orderly working environment; maintains compliance with OSHA regulations.
• Ensures that HIPAA regulations, Joint Commission standards and MWHC's corporate compliance policies are adhered within areas of oversight.
• Keeps abreast of all regulations, procedures, and interpretation of Federal, State, and local law as it pertains to financial operations and regulatory compliance.
• Identifies and reports any potential situations of concern to managers which could cause medical error and/or patient or staff harm.
• Immediately acts, where appropriate, to minimize the risk of injury to patient and associates. Participates when appropriate in Root Cause Analysis and/or other efforts to reduce the risk of medical error and/or patient or staff harm.
• Performs other duties as assigned.

Qualifications:

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited Medical School
• Board certification in a medical specialty.
• Advanced Executive Level degree in healthcare administration or a related field (e.g., MBA, MPH)
• A minimum of eight (8) years' experience in a clinical leadership role at the executive level in an acute care or tertiary care hospital with significant experience in overseeing Graduate Medical Education Programs.
• Demonstrated understanding of healthcare regulations, compliance, physician contracting/employed physician models and ACGME guidelines.
• Proven ability to collaborate with multidisciplinary teams.
• Track record of successful project management demonstrating an Innovative mindset with a focus on continuous improvement
• Experience with electronic medical records (EMR) systems.
• Active and unrestricted medical license in the state of practice, with board certification in a relevant medical specialty.
• Ability to make critical decisions under pressure, maintain composure and sound judgement.
• Must effectively be able to communicate (both written and oral) with peers, staff, legal counsel, board members and physicians (including large group presentations).
• Must have a working knowledge of the regulatory rules and consequences of non-compliance, such as those for Medicare and Medicaid.
• Requires an exceptional level of people skills, sensitivity, tact, and diplomacy.

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.