The Massachusetts Department of Public Health (DPH) is seeking aChief Medical Officer (CMO) at Western MA Hospital (WMH). The Chief Medical Officer is an essential physician leader with the opportunity to shape the quality, safety, and delivery of care across the hospital's Medical department. Serving as both Attending Physician and senior clinical leader, the CMO provides strategic direction for medical services, guides physicians and Nurse Practitioners, and partners with hospital leadership to ensure patients receive appropriate, high-quality care at the right level of care. This role offers a meaningful opportunity to influence clinical practice, strengthen interdisciplinary collaboration, and advance a culture of continuous quality improvement within a hospital committed to excellent patient care. The CMO will serve as a visible leader among the Medical Staff, participating in and chairing key hospital committees while collaborating closely with quality, risk, utilization review, nursing, and administrative leaders. The role provides broad influence over clinical standards, physician performance, credentialing, infection prevention and control, employee health, regulatory readiness, and compliance with applicable federal and state requirements and accrediting standards, including those of CMS and The Joint Commission. For an experienced physician leader who values clinical excellence, accountability, collaboration, and organizational impact, this is an opportunity to help shape the future of care at WMH while directly supporting and developing a talented clinical team. Please note: The schedule is Monday through Friday, with flexibility to adjust the schedule as needed to meet operational needs. Please note: The incumbent will function as "/Chief of Service"/ and as such is excluded from Bargaining Unit 7 under the MNA collective bargaining agreement. Therefore, most benefits are governed by the Commonwealth's "Red Book". (For example: your dental/vision benefits will be with the Group Insurance Commission). /Duties and Responsibilities (these duties are a general summary and not all inclusive):/ · Provide executive and clinical leadership for the Medical Services and Clinical Service Departments by establishing performance objectives, communicating organizational vision, and ensuring alignment with the hospital's mission, strategic priorities, clinical needs, educational programs, business requirements, and applicable Department of Public Health regulations. · Partner with the Chief Executive Officer and senior leadership team on strategic planning, policy development, organizational decision-making, budget and financial management, special initiatives, clinical programming, service needs, and operational priorities, while ensuring medical services are responsive to evolving patient and organizational needs. · Direct and oversee specialized medical care programs by establishing and maintaining clinical policies, procedures, standards, and evidence-based practices that promote high-quality, safe, efficient, compassionate, and patient-centered care. Serve as a primary care physician for assigned patients and provide medical coverage, emergency support, and on-call services as required. · Oversee patient admissions, utilization, and hospital-level care by reviewing patient abstracts, participating in medical screening, and ensuring admissions and ongoing care meet applicable CMS, managed care, and hospital-level-of-care criteria. Collaborate with interdisciplinary teams to ensure care plans appropriately reflect utilization review requirements and patient needs. · Lead medical quality, patient safety, and performance improvement initiatives by monitoring clinical care, documentation, and provider performance; establishing and evaluating quality improvement programs; implementing National Patient Safety Goals and evidence-based initiatives; and ensuring timely corrective action, risk management, and continuous improvement across medical services. · Ensure regulatory, accreditation, and medical staff compliance with requirements established by The Joint Commission, CMS, Department of Public Health, Massachusetts Board of Registration in Medicine, and other applicable regulatory bodies. Oversee the development, annual review, implementation, and enforcement of Medical Staff Bylaws, Rules and Regulations, policies, procedures, and standards. · Provide leadership and oversight to the Medical Staff governance structure by serving as Chair of designated Medical Staff and hospital committees, participating as an ex-officio member of Medical Staff committees, reviewing committee activities and minutes, addressing identified concerns, and ensuring appropriate follow-through on corrective actions and organizational priorities. · Oversee medical staff credentialing, privileging, professional performance, and workforce development by ensuring timely and accurate credentialing processes, evaluating professional practice and competencies, recommending appointments and privileges to the Governing Body, supporting physician and advanced practitioner recruitment, and addressing performance or disciplinary matters when appropriate. · Foster strong interdisciplinary and externalpartnerships by collaborating with nursing and clinical leadership to address gaps in care delivery, coordinating medical education activities, supporting employee health initiatives, and serving as a senior clinical liaison to state agencies, healthcare organizations, referral sources, and external providers regarding the hospital's role, services, and clinical capabilities. · Oversee the operational, contractual, and financial aspects of medical services by ensuring compliance with Commonwealth purchasing, ethical, and contractual requirements; managing provider contracts; evaluating clinical service and off-site care needs; supporting recruitment and retention initiatives; and recommending strategic clinical programs and resources that advance the hospital's mission and patient care objectives. /Required Qualifications:/ · Current Massachusetts physician licensure through the Board of Registration in Medicine, with the clinical expertise and professional standing required to practice hospital-based medicine. · Demonstrated leadership experience overseeing a complex medical staff and leading physicians, advanced practitioners, and other clinical professionals in a hospital environment. · Strong collaborative and interpersonal skills,with the ability to build effective relationships across multidisciplinary teams, executive leadership, nursing, medical staff, and external stakeholders. · Comprehensive knowledge of hospital-based clinical practice, including the delivery, coordination, and oversight of high-quality, safe, efficient, and patient-centered medical care. · Expertise in quality assurance, performance improvement, patient safety, and risk management, with the ability to identify opportunities for improvement and implement sustainable clinical initiatives. · Knowledge of healthcare accreditation, certification, and regulatory processes,including The Joint Commission (TJC), CMS certification, Health Care Quality (HCQ) reviews, MassPRO, and other applicable hospital practice review requirements. · Working knowledge of medical staff governance and oversight, including credentialing, privileging and delineation of clinical privileges, peer review, professional practice evaluation, and related medical staff processes. · Strong administrative and financial management capabilities,including experience overseeing budgets, managing contracts, interpreting financial reports, and understanding hospital administrative and financial systems. · Ability to develop and advance clinical programs that align with the hospital's mission, strategic priorities, community needs, and evolving healthcare requirements, supported by an understanding of federal regulations governing hospital clinical staff and human research activities, including National Practitioner Data Bank requirements. · Sound knowledge of healthcare legal and ethical principles, including medico-legal considerations, medical ethics, regulatory compliance, professional accountability, and the application of these principles to clinical decision-making and medical staff leadership. /Preferred Qualifications:/ · Experience working within a state government healthcare environment, including familiarity with administrative, budgetary, procurement, and operational processes. · Knowledge of Commonwealth of Massachusetts policies, regulations, and administrative requirements applicable to hospital operations and clinical services. · Demonstrated ability to build and manage effective inter-agency relationships with state agencies, healthcare organizations, regulatory bodies, and community partners. · Experience collaborating with government agencies and external oversight organizations to support coordinated patient care, regulatory compliance, and organizational priorities. · Strong understanding of healthcare regulatory and accreditation standards, including requirements established by The Joint Commission, CMS, Department of Public Health, and other applicable oversight entities. · Experience preparing for and successfully navigating regulatory surveys, accreditation reviews, audits, and external oversight processes. · Demonstrated ability to interpret complex regulations and translate requirements into effective clinical and operational practices. · Experience developing and maintaining strategic partnerships across multiple agencies and organizations to advance clinical programs and hospital initiatives. · Strong strategic, analytical, and organizational skills, with the ability to evaluate regulatory, financial, and operational considerations and translate them into sound recommendations. · Experience leading cross-functional initiatives in a highly regulated healthcare environment,with the ability to balance patient care, compliance, operational priorities, and the hospital's mission. /DPH Mission and Vision:/ The mission of the Massachusetts Department of Public Health (DPH) is to promote and protect health and wellness and prevent injury and illness for all people, prioritizing racial equity in health by improving equitable access to quality public health and health care services and partnering with communities most impacted by health inequities and structural racism. We envision a Commonwealth with an equitable and just public health system that supports optimal well-being for all people in Massachusetts, centering those with systemically and culturally oppressed identities and circumstances. Learn more and share a one-pager on DPH and what we do:DPH at a Glance PDF|Doc /About Western MA Hospital:/ The Western Massachusetts Hospital is the only public hospital operating in the western region of Massachusetts with a mission to serve as a medical safety net for many uninsured and under-insured residents in the region. Western Massachusetts Hospital provides both acute and chronic hospital care to patients with a variety of chronic diseases and complicated medical conditions, such as: Cardiac and pulmonary disease Chronic neurological disorders Complications of strokes Dementia with major behavioral issues End stage terminal illnesses of various diagnoses /Consider joining our dynamic team of health care professionals in a work environment that provides high staff to patient ratio and delivers high quality care to all patients on all units. Enjoy the opportunity to provide quality services in a long-term care setting where familiar faces are the norm rather than the exception. / /Learn more:/https://www.mass.gov/locations/western-massachusetts-hospital /About the Department of Public Health:/ The mission of the Massachusetts Department of Public Health (DPH) is to prevent illness, injury, and premature death, to assure access to high quality public health and health care services, and to promote wellness and health equity for all people in the Commonwealth. We envision a Commonwealth in which all people enjoy optimal health. Massachusetts ranks among the healthiest of states according to comparative analyses, but we face numerous challenges, including chronic and infectious disease, substance abuse, violence, preventable hospitalizations, and health disparities. DPH coordinates programs and policies to address specific diseases and conditions and offer services to address the needs of vulnerable populations. We also develop, implement, promote, and enforce regulations and policies to assure that the conditions under which people live are most conducive to health and enable people to make healthy choices for themselves and their families. We license health professionals, healthcare facilities and a variety of businesses that impact public health. We operate the state laboratory and four public health hospitals. We monitor health status and manage vital records including births, marriages and deaths. We educate people about public health issues and work closely with local boards of health and community partners to identify and solve public health problems. Learn more about nursing opportunities at DPHhttps://www.mass.gov/info-details/nursing-roles-at-dph Pre-Offer Process: A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website. ADA Reasonable Accommodation: If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests For questions, please contact Human Resources at 1-800-510-4122 Option 4. First consideration will be given to those applicants that apply within the first 14 days. Minimum Entrance Requirements: Applicants must have at least five years of full-time or equivalent part-time, professional experience as a registered physician three years of which must have been in a specialized field such as pediatrics, geriatrics, oncology, endocrinology, neurology or infectious disease. Special Requirements: Current and valid registration as a physician under the Massachusetts Board of Registration in Medicine. Must also be certified by the American Board of Medical Specialties in area of specialization. Comprehensive Benefits When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future. Want the specifics? Explore our Employee Benefits and Rewards! Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range. Title 101 CMR 23.00 ("Regulation") requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza. An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role. Job: Medical Services Organization: Department of Public Health Title: Chief Medical Officer Location: Massachusetts-Westfield-91 East Mountain Rd Requisition ID: 260007QX
