Additional Job Description: Other Information: (Education, Certifications and Minimum Job Requirements) Required • MD or DO from an accredited medical school • Active, unrestricted medical license - New Mexico • Board certification • 10 or more years of relevant clinical and health care leadership experience • Managed care, health plan, medical director, UM, quality, population health, or medical management leadership experience • Experience with medical necessity review, appeals, peer review, clinical criteria, medical policy, and regulatory/accreditation requirements • Strong physician leadership, executive communication, business acumen, and influence skills Preferred • Prior experience as a health plan CMO, deputy CMO, associate CMO, or senior medical director • Experience in Medicare Advantage, Medicaid, commercial health plan, provider-sponsored health plan, or integrated delivery system • Experience with NCQA, URAC, CMS, state regulatory requirements, HEDIS/Stars, value-based care, behavioral health integration, and risk adjustment • Advanced degree such as MBA, MHA, MPH, MMM, or equivalent • CPHQ, CPE, or equivalent physician leadership/quality credential. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.