Associate Chief Medical Officer
Job Description
Overview
The Associate Chief Medical Officer (ACMO) is responsible for assisting the Chief Medical Officer (CMO) in the overall operations and management of medical programs and activities at Riverside Regional Medical Center (RRMC), including medical staff management, quality improvement, peer review, Epic electronic health record improvements, and DNV processes. This role serves as the CMO’s primary operational delegate at the hospital level, with substantial day-to-day responsibilities for medical staff leadership and physician engagement. Critically, the ACMO assumes primary day-to-day operational responsibility for the Credentials Verification Office (CVO), directing credentialing, privileging, and provider verification workflows across the Riverside Unified Medical Staff under the strategic oversight and ultimate authority of the CMO. The ACMO provides executive-level leadership in advancing RRMC’s aspirational efforts to eliminate harm, achieve top decile performance in quality, safety, patient experience, and health equity. The ACMO works closely and collaboratively with service line chiefs and medical directors and helps provide oversight to all medical directors under the direction of the CMO.
What you will do
LEADERSHIP:
As part of the RRMC Leadership team, serves as the voice of the physicians and other providers on the professional staff and creates a shared vision and strategy for the practice of medicine at the hospital. Supports the CMO as the primary physician voice to the Medical Executive Committee, providing physician perspective and ensuring follow-through on MEC commitments and medical staff governance matters.
- Serves as the primary operational leader of the Riverside Health Credentials Verification Office, directing the day-to-day functions of medical staff credentialing, privileging, and provider verification across the Riverside Unified Medical Staff under the strategic oversight and ultimate authority of the CMO. This function represents the core operational responsibility of the ACMO role.
– Promotes an environment that supports an empowered workforce through role modeling and mentoring key personnel.
– Strengthens and reinforces a culture of quality, safety, and patient experience across RRMC.
– Assumes primary day-to-day accountability for the professional peer review process, physician disciplinary matters, and Medical Executive Committee follow-through on behalf of the CMO.
– Leads the development, execution, and monitoring of programs, services, and processes designed to maximize the patient and family experience and the satisfaction of referring physicians.
– Helps build and lead a multidisciplinary quality and safety organization that transcends existing units and reinforces a consistent approach to quality, safety, and overall patient and family experience.
– Provides ongoing mentoring and coaching to continue the environment of open communications, idea exchange, and process simplification.
– Develops and maintains relationships with hospital and community-based professional staff to accomplish operational objectives; proactively seeks physician input on pertinent clinical matters.
– Assists with the resolution of provider-related behavior issues and disputes.
– Works collaboratively with employees to plan for staff development that assures the knowledge and skill levels are achieved to function competently in assigned duties.
– Strives to meet and exceed department and hospital goals through inter- and intra-departmental collaboration and active participation on appropriate committees. Implements process improvement initiatives.
– Partners with Information Technology on EHR and electronic medical record improvements as they relate to physician documentation and clinical workflow.
STRATEGIC PLANNING:
Along with the RHS and RMG teams, helps develop strategy through the analysis of market data, customer feedback, and state and national legislation and healthcare trends to develop a strategic plan congruent with the mission and vision of RRMC, RHS, and RMG.
– Drives the development and attainment of intra- and interdivisional goal setting that supports strategic initiatives.
– Facilitates development and implementation of the hospital's mission, vision, and strategic plan as it relates to the medical staff.
– Communicates and educates employees to the strategic plan.
– Supports the CMO in Acute Care Division CMO coordination activities, including preparation for division CMO alignment forums, tracking of shared quality and safety priorities, and follow-through on division-level improvement initiatives as delegated.
– Assists in monitoring division-wide clinical quality performance data; prepares analyses identifying variation across hospitals to inform targeted improvement efforts in collaboration with the CMO.
OPERATIONS:
– Helps design and support an environment that strives to continually improve processes within RRMC and supports the mission and vision of the organization.
– Directs daily CVO operations, including initial credentialing, re-credentialing, and privileging workflows for employed physicians, contracted provider groups, and clinically integrated network practitioners across all Riverside Health System acute care hospitals.
– Ensures CVO processes consistently meet or exceed DNV, CMS, and applicable accreditation standards; leads preparation for and response to accreditation reviews related to credentialing and medical staff services.
– Manages the focused and ongoing provider performance evaluations, ensuring timely completion, data integrity, and compliance with CMS Conditions of Participation and DNV standards.
– Oversees enterprise-wide privileging standards in collaboration with service line chiefs and department chairs, maintaining consistency of core privilege criteria across hospitals.
– Partners with Legal, Compliance, and Risk Management on credentialing-related quality concerns, adverse privileging actions, and National Practitioner Data Bank (NPDB) reporting obligations; escalates matters requiring CMO authority as appropriate.
– Drives continuous improvement of the credentialing and re-credentialing lifecycle, leveraging technology and process standardization to reduce cycle time while preserving rigor and regulatory integrity.
– Manages CVO staff and operational resources; establishes performance metrics and quality dashboards to monitor throughput, accuracy, and compliance across the credentialing function.
– Serves as the day-to-day operational liaison between the CVO and Unified Medical Staff leadership, hospital department chairs, and service line chiefs on all credentialing matters, with the CMO serving as the senior CVO representative to the Acute Care Division.
– Creates an environment that fosters innovation and performance, supporting the implementation of programs that continuously advance clinical outcomes and patient experience.
– Advances as a leader in quality and safety, as evidenced by exceptional patient outcomes and top decile performance rankings.
– Leads in developing, directing, and coordinating innovative, multidisciplinary quality and outcomes management initiatives across RRMC that incorporate national best practices, drive down variation, decrease costs, and create efficiencies.
– Assists with the oversight of quality data analytics; understands trends and directs the monitoring, reporting, and active discussion of clinical outcomes among clinical areas where quality issues have been identified.
– Ensures accountability through the implementation of metrics and performance dashboards.
– Provides leadership in strategic vision, facilitation of goals, project development, and implementation to improve clinical information systems.
– Develops, coaches, and mentors team members; builds a supportive, positive, learning, and healthy work environment based upon trust, collaboration, respect, and transparency.
– Promotes collaborative and mutually respectful relationships between physician and administrative leadership.
– Assists in maintaining functional compliance including DNV and other governing bodies.
BUDGET:
Assists with the analysis of the overall organizational budgetary allocations based upon historical trends to restricted and unrestricted funds, contractual agreements, forecasted changes in the healthcare environment, and identified assets and liabilities.
– Assists clinical departments with the analysis of their respective departmental goals for financial management. Helps provide justifications for major variations.
– Works collaboratively with Service Line Chiefs and Administrative Directors during the budgeting process.
Qualifications
Education
- Doctoral Degree MD/DO (Required)
- Masters Degree (MBA, MHA, MMM, or MPH) (Preferred)
Experience
- 7-10 years Clinician with increasing administrative responsibility (Preferred)
- 2-3 years Direct experience with medical staff credentialing, privileging, or medical staff services leadership (Preferred)
Skills and Abilities
- Board Certification in Medical Specialty (MD/DO ABMS, AOBMS)
- Demonstrated knowledge of medical staff credentialing and privileging regulations, accreditation standards (DNV, CMS), and NPDB reporting requirements.
- Strong operational leadership skills with ability to manage staff, workflows, and performance metrics in a complex healthcare environment.
Licenses and Certifications
- Physician License - Virginia Board of Medicine within 60 Days (Required)
- Valid Drivers License Required
To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.