Confidential
Executive Chief Medical Officer
About the Company
Join a pioneering AI & machine learning software provider that is transforming the healthcare landscape.
Industry
Computer Software
Type
Privately Held, VC-backed
Founded
2016
Employees
1001-5000
Funding
$6-$10 million
Specialties
Machine Learning
Deep Learning
Large-Scale Data Processing
Cluster Computing
Real-Time Predictions
NLP
Data to Cash
Payment Integrity
Subrogation
Data Mining
Cost Containment
Healthcare Administration
Healthcare Claims
AI
Coordination of Benefits
Healthcare IT
Healthcare Payment Process
About the Role
We are seeking an accomplished Executive Chief Medical Officer (CMO) to take on a pivotal role in enhancing client relations, shaping payment integrity policies, and providing the clinical insight necessary for innovative product development. In this key position, you will forge strong partnerships with client medical directors and senior payer stakeholders, all while influencing payer-specific policies and ensuring clinical accuracy in coding discussions.
The successful candidate will possess an MD or DO with a current license, backed by a minimum of 10 years of relevant experience and a proven track record in executive-level client engagement. Your key responsibilities will include mentoring our internal clinical team, refining clinical playbooks, and helping to shape a product roadmap that prioritizes clinical innovation.
Your deep expertise in payment integrity, reimbursement operations, and claims auditing—particularly across various claim types and payer adjudication rules—is essential. Additionally, experience with pharmacy claims and PBM workflows, along with advanced qualifications like an MBA, MPH, or MHA, are highly desirable.
At our organization, we pride ourselves on being an equal-opportunity employer committed to cultivating a diverse and inclusive work environment. We look forward to welcoming visionary leaders who share our mission.
Hiring Manager Title
CEO
Travel Percent
Less than 10%
Functions
Medical Care/Hospital Administration