Chief Medical Officer (CMO) Job at Confidential, Los Angeles, CA

RWJZYjk1M0pocWxHak9sVDVZNzdGVnN2ZWc9PQ==
  • Confidential
  • Los Angeles, CA

Job Description

Chief Medical Officer (CMO)

About the Company

Innovative AI & machine learning software vendor

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 admin
  • healthcare claims
  • ai
  • coordination of benefits
  • healthcare it
  • and healthcare payment process

About the Role

The Company is in search of a Chief Medical Officer (CMO) to serve as a physician executive and clinical leader, with a focus on driving trusted client relationships, guiding payment integrity policy, and representing the clinical voice in product innovation. The CMO will be responsible for building partnerships with client medical directors, payment integrity executives, and senior payer stakeholders, as well as shaping payer-specific payment policies and providing clinical and coding rationale during client interactions. This role requires a strong background in payment integrity, reimbursement operations, and claims auditing, with expertise across various claim types and a deep understanding of payer adjudication rules. The ideal candidate for the CMO position at the company will have an MD or DO with an active license, at least 10 years of experience in the relevant fields, and a proven track record of executive-level client engagement. Key responsibilities include mentoring internal clinicians, guiding clinical playbooks, and shaping the product roadmap to ensure clinical content innovation. The CMO will also be expected to have a strong knowledge of industry standards and to collaborate closely with cross-functional teams to ensure that the company's outputs are clinically sound. Preferred qualifications include experience with pharmacy claims, PBM workflows, and advanced degrees such as an MBA, MPH, or MHA. The company is an equal-opportunity employer and is dedicated to fostering a diverse and inclusive workplace.

Hiring Manager Title
CEO

Travel Percent
Less than 10%

Functions

  • Medical Care/Hospital Administration

Job Tags

Similar Jobs

Carle Health

Clinical Staff Pharmacist- Methodist Pharmacy Job at Carle Health

 ...Ensuring accurate entry of the order into the computer to furnish hospital personnel with current medication administration reports....  ...Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security... 

Providence

Radiation Therapist - Lacy Job at Providence

 ...Description $10,000 Sign-On for eligible external hires who meet required qualifications and conditions for payment The Radiation Therapist will perform a variety of duties associated with patient treatments. They will be responsible for Quality Improvement procedures... 

Lakin Tire

Unloader - Colorado Job at Lakin Tire

 ...Unloader - Colorado at Lakin Tire Description Unloaders are responsible for unloading tires from 53' trailers. Schedule...  ...Pay ~ TBD Responsibilities Assist in manually loading and unloading tires from trucks Operate equipment on the vehicle... 

Amarillo Ice

CDL Class A Delivery Driver Job at Amarillo Ice

 ...We are seeking a CDL Class A Delivery Driver to join our team! Part time to full time. Home every night. Responsibilities: Safely...  ...physical workload Strong work ethic Work well with customers Company Description Please come apply in person to 1400 S. Johnson, to... 

State of Kentucky Justice & Public Safety Cabinet Department...

Correctional Officer Job at State of Kentucky Justice & Public Safety Cabinet Department...

 ...Advertisement Closes 1/18/2026 (7:00 PM EST) 26-00068 Correctional Officer Pay Grade 10 Salary $39,127.68 Annually...  ...Requirements EDUCATION: High school graduate. EXPERIENCE, TRAINING, OR SKILLS: NONE Substitute EDUCATION...