Home › Companies › Hckd Fa Us2 Oraclecloud Com CX 1 › Chief Medical Officer, Health Plan (Based in IL)
Chief Medical Officer, Health Plan (Based in IL)
Hckd Fa Us2 Oraclecloud Com CX 1 · Downers Grove, IL, United States; Remote Employees, Long Beach, CA, US · Remote · Active · Oracle Recruiting Cloud / Fusion HCM
Job facts
| Field | Value |
|---|---|
| Company | Hckd Fa Us2 Oraclecloud Com CX 1 |
| Title | Chief Medical Officer, Health Plan (Based in IL) |
| Normalized title | - |
| Department / team | Medical |
| Location | Downers Grove, IL, United States |
| Work model | Remote / Remote |
| Employment type | Full Time |
| Salary | - |
| Status | active |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2026-06-18 / 2026-06-19 |
| Changed / last seen | 2026-06-19 / 2026-06-19 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Hckd Fa Us2 Oraclecloud Com CX 1. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Oracle Recruiting Cloud / Fusion HCM. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Downers Grove. | Open |
| Department jobs | Active postings in Medical. | Open |
| Work model jobs | Active Remote postings. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Hckd Fa Us2 Oraclecloud Com CX 1 |
| Source | 8214b818-efda-4f30-9713-cac0e888e0f9 |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
Description
Description
JOB DESCRIPTION Job Summary
Provides executive level strategy and leadership to the health plan in the development and execution of care management and utilization management programs. Develops clinical practice guidelines and oversees appropriateness and medical necessity of services provided to plan members - targeting improvements in efficiency and satisfaction for members and providers. Partners with executive leadership team to provide cohesive direction towards company goals. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Provides executive strategy, vision and direction to the health plan for the medical affairs function. Provides strategic support for design/implementation/execution for programs related to quality improvement, utilization management, care management, predictive modeling and disease management. Responsible for performance and financial results of medical affairs function, and keeps executive leadership apprised.
• Leads the health plan's analysis of medical care cost and utilization data. Leads and manages the development of techniques to effectively correct identified and anticipated utilization problems while assuring that members receive the care they need.
• Provides leadership, direction and oversight functions to the health plan’s medical management staff to achieve best in class performance as defined by identified metrics.
• Demonstrates a positive leadership role in key health plan medical management initiatives aimed at optimizing utilization of medical resources.
• Oversees and directs the rendering of medical management decisions at all levels of the health plan that maximize benefits for members while pursuing and supporting corporate objectives.
Required Qualifications
• At least 12 years of relevant health care leadership experience, including clinical practice experience, and at least 2 years as a medical director in managed care organization supporting utilization management/quality program management, or equivalent combination of relevant education and experience.
• At least 7 years health care management/leadership experience.
• Active and unrestricted Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice.
• Board certification.
• Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff.
• Experience demonstrating strong leadership and communication skills, consensus building, collaborative ability and financial acumen.
• Demonstrated ability to make strategic decisions.
• Excellent verbal and written communication skills.
• Microsoft Office proficiency.
Preferred Qualifications
• Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) certification, or other health care or management certification.
• Prior experience with process improvement activities, policy and procedure development, and operational efficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Full job record
| Job ID | ceffe5a87661f835c20b3396427168abc9bf71af |
| Org ID | 6fcfe228-ec8c-4e31-bf8d-2e5d2cb49f0a |
| Source ID | 8214b818-efda-4f30-9713-cac0e888e0f9 |
| Board ID | 8214b818-efda-4f30-9713-cac0e888e0f9 |
| Provider | oracle_hcm |
| Provider Job Key | 2037853 |
| Title | Chief Medical Officer, Health Plan (Based in IL) |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Downers Grove, IL, United States; Remote Employees, Long Beach, CA, US |
| Department | Medical |
| Team | — |
| Employment Type | full_time |
| Workplace Type | remote |
| Remote Policy | remote |
| Country | United States |
| Region | IL |
| City | Downers Grove |
| Salary Raw | Description JOB DESCRIPTION Job Summary Provides executive level strategy and leadership to the health plan in the development and execution of care management and utilization management programs. Develops clinical practice guidelines and oversees appropriateness and medical necessity of services provided to plan members - targeting improvements in efficiency and satisfaction for members and providers. Partners with executive leadership team to provide cohesive direction towards company goals. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Provides executive strategy, vision and direction to the health plan for the medical affairs function. Provides strategic support for design/implementation/execution for programs related to quality improvement, utilization management, care management, predictive modeling and disease management. Responsible for performance and financial results of medical affairs function, and keeps executive leadership apprised. • Leads the health plan's analysis of medical care cost and utilization data. Leads and manages the development of techniques to effectively correct identified and anticipated utilization problems while assuring that members receive the care they need. • Provides leadership, direction and oversight functions to the health plan’s medical management staff to achieve best in class performance as defined by identified metrics. • Demonstrates a positive leadership role in key health plan medical management initiatives aimed at optimizing utilization of medical resources. • Oversees and directs the rendering of medical management decisions at all levels of the health plan that maximize benefits for members while pursuing and supporting corporate objectives. Required Qualifications • At least 12 years of relevant health care leadership experience, including clinical practice experience, and at least 2 years as a medical director in managed care organization supporting utilization management/quality program management, or equivalent combination of relevant education and experience. • At least 7 years health care management/leadership experience. • Active and unrestricted Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice. • Board certification. • Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. • Experience demonstrating strong leadership and communication skills, consensus building, collaborative ability and financial acumen. • Demonstrated ability to make strategic decisions. • Excellent verbal and written communication skills. • Microsoft Office proficiency. Preferred Qualifications • Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) certification, or other health care or management certification. • Prior experience with process improvement activities, policy and procedure development, and operational efficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V |
| Salary Min | — |
| Salary Max | — |
| Salary Currency | — |
| Salary Period | — |
| Source URL | https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2037853 |
| Apply URL | https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2037853 |
| First Seen At | 2026-06-19 11:32:53Z |
| Last Seen At | 2026-06-19 11:32:53Z |
| Last Checked At | 2026-06-19 11:32:53Z |
| Last Changed At | 2026-06-19 11:32:53Z |
| Inactive At | — |
| Source Posted At | 2026-06-18 20:20:00Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=hckd.fa.us2.oraclecloud.com|CX_1/date=2026-06-19/2026-06-19T11-32-19-238Z-c158719abb6b997ff3be06d206ad35dfb3244c27b03896d104fa255a3d116735.json |
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