Deputy Chief Medical Officer

Position Overview :

The Deputy Chief Medical Officer (DCMO) provides executive-level clinical and operational leadership to ensure high-quality, cost-effective, and culturally competent care delivery for Philadelphias behavioral health Medicaid members. Serving as a key partner to the Chief Medical Officer, the DCMO has primary responsibility for comprehensive clinical oversight, including quality of care, safety, clinical effectiveness, and medical management. The DCMO ensures that clinical operations are evidence-based, compliant with all regulations, aligned with value-based care models, and responsive to the needs of members, providers, and the community. Experience in managed care is highly preferred.

Essential Functions :

Clinical Leadership & Oversight

• Provide direct oversight of all clinical programs and functions, including medical management, quality improvement, utilization management, and care coordination.
• Ensure clinical programs adhere to evidence-based practice standards, regulatory requirements, and accreditation standards.
• Monitor and evaluate clinical outcomes, patient safety metrics, and service delivery to drive continuous quality improvement.
• Leading peer review, appeals, grievance resolution, and case consultation to ensure fairness, consistency, and clinical appropriateness.
• Perform medical reviews.
• Make denial decisions based on medical necessity.

Operational and Strategic Management

Team Leadership & Talent Development

Stakeholder Engagement

Position Requirements :

Education :

License / Certification :

Experience :

Work Conditions

CBH Requirements :

Philadelphia Residency Requirement :

U.S. Authorization Requirement :

Equal Employment Opportunity :

Requesting Accommodation :

PI0bd8f799651b-31181-38731648