The Division of Medical Assistance (DMA) manages health care services for the most vulnerable North Carolina residents.  With a budget of nearly $14 billion, DMA serves about 2 million low-income parents, children, seniors, and people with disabilities through the NC Medicaid and NC Health Choice for Children programs.

 Position Summary

The Chief Medical Officer (CMO) functions as a key member of the Division Executive Team, providing input into policy decisions and medical leadership to all Medicaid sections and initiatives, with the goal of promoting the delivery of high quality services within a sustainable budget.  The position will also have management responsibilities.  The CMO will interact on a regular basis with Pre-Paid Health Plans (PHP) and Local Management Entities/Managed Care Organizations (LME/MCO) medical directors and clinical and non-clinical staff in other state agencies including the Division of Public Health, Division of Mental Health, Intellectual & Developmental Disabilities, and Substance Abuse, and others as needed. Other key responsibilities include analysis of proposed legislation and testimony at legislative committee meetings, input on state-related payment reform, leadership on Social Determinants, and serving as a liaison to the healthcare provider community.

Job Specific Responsibilities

• Lead, direct and/or give implementation support to programs that improve the health or quality of care for populations served
• Lead, orchestrate, implement and/or sponsor programs to evaluate the quality of care. This evaluation enables leveraging of new or existing purchasing strategies
• Lead Medicaid efforts in improving the Social Determinants of Health for Medicaid Beneficiaries
• Develop, lead and/or participate in quality oversight for significant aspects of Medicaid/CHIP work and compliance
• Provide medical leadership and consultation for benefit design
• Provide direct medical consultation for policy development, case reviews, appeals
• Serve as liaison with health care providers, Health Plan medical directors, other DHHS Medical Directors, and other DHHS and external clinical partners to achieve program goals