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HomeCompaniesHckd Fa Us2 Oraclecloud Com CX 1Chief 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

FieldValue
CompanyHckd Fa Us2 Oraclecloud Com CX 1
TitleChief Medical Officer, Health Plan (Based in IL)
Normalized title-
Department / teamMedical
LocationDowners Grove, IL, United States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-06-18 / 2026-06-19
Changed / last seen2026-06-19 / 2026-06-19

Related slices

PageWhat it containsOpen
Company jobsActive postings from Hckd Fa Us2 Oraclecloud Com CX 1.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Downers Grove.Open
Department jobsActive postings in Medical.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyHckd Fa Us2 Oraclecloud Com CX 1
Source8214b818-efda-4f30-9713-cac0e888e0f9
ATS providerOracle 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 IDceffe5a87661f835c20b3396427168abc9bf71af
Org ID6fcfe228-ec8c-4e31-bf8d-2e5d2cb49f0a
Source ID8214b818-efda-4f30-9713-cac0e888e0f9
Board ID8214b818-efda-4f30-9713-cac0e888e0f9
Provideroracle_hcm
Provider Job Key2037853
TitleChief Medical Officer, Health Plan (Based in IL)
Normalized Title
Statusactive
Activeyes
Location TextDowners Grove, IL, United States; Remote Employees, Long Beach, CA, US
DepartmentMedical
Team
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
RegionIL
CityDowners Grove
Salary RawDescription 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 URLhttps://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2037853
Apply URLhttps://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2037853
First Seen At2026-06-19 11:32:53Z
Last Seen At2026-06-19 11:32:53Z
Last Checked At2026-06-19 11:32:53Z
Last Changed At2026-06-19 11:32:53Z
Inactive At
Source Posted At2026-06-18 20:20:00Z
Source Updated At
Raw Payload Uris3://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
Event Fields
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Parsed Structured
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Extensions
{}
Native Structured
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