Associate Chief Medical Officer for Managed Care Greater San Jose, CA Area

The Company is seeking an Associate Chief Medical Officer for Managed Care to lead payer strategy, reimbursement, and access to specialized pediatric services. The role partners with clinical, operational, and executive leaders to strengthen payer relationships, address complex coverage and authorization issues, improve utilization and care coordination, and support financial performance and patient experience. Responsibilities include providing physician oversight across revenue cycle and managed care functions, guiding denial and reimbursement strategies, and advising on complex medical necessity and financial clearance matters. The ACMO also leads strategic programs, supports physician education on documentation and payer requirements, and contributes to senior leadership and organizational committees. Candidates must hold an MD, DO, or equivalent and have at least five years of physician leadership experience in a health plan, hospital, health system, or comparable setting; a California medical license is required upon hiring. Preferred qualifications include readiness to take on a clinical role in an academic pediatric and obstetric setting and an advanced degree such as an MBA or MHA. Relevant knowledge or experience in pediatrics, maternity care, electronic health records, accountable care, and commercial or Medicaid reimbursement is preferred. Strong clinical judgment, leadership, and the ability to collaborate across clinical and operational teams are important.

Hiring Company

Stanford University