Chief Medical Officer Part Time

For more than 70 years, the Motion Picture Industry Pension & Health Plans (MPI) has proudly served the entertainment community by supporting the financial and healthcare well-being of the people who bring stories to life — from set crews to post-production pros. At MPI, we are more than administrators of benefits. We are trusted partners, stewards, and advocates dedicated to delivering high-quality healthcare coverage and retirement security to our Participants and their families. Our culture is built on integrity, expertise, collaboration, and service excellence. MPI is recognized as a five-time certified Great Place to Work® employer and recipient of the World at Work Seal of Distinction because we believe people do their best work when they’re respected, supported, and inspired. Role Overview: MPI is seeking a licensed, experienced physician leader (M.D.) to serve as Chief Medical Officer (CMO). This part-time, highly visible role provides strategic medical leadership, clinical oversight and expert guidance across the Plans’ healthcare operations. The CMO partners closely with Executive Leadership, the Board of Trustees, internal departments, external consultants and healthcare business partners to ensure medical decisions, policies and programs support the Plans’ mission while maintaining the highest standards of quality, compliance and fiscal responsibility. This part-time role (3 days/week) is ideal for a collaborative, systems-oriented physician executive who is passionate about improving health outcomes while navigating complex benefits structures. This position works onsite in Studio City, CA. MPI requires employees to be vaccinated against Covid-19, with exceptions as required by law. Qualified candidates, please submit your current resume with a cover letter and your compensation requirements for consideration. Submissions will be reviewed; only candidates most closely aligned with the requirements of the position will be contacted. What You Will Need:   The successful candidate will bring exceptional clinical credibility, leadership maturity, and collaborative strength.   Required: Active, unencumbered California M.D. license Graduate of an accredited medical school Minimum 10+ years of clinical practice experience Strong leadership presence with the ability to influence across stakeholders Excellent administrative and communication skills, both oral and written Preferred Board certification in Internal Medicine or Family Medicine Experience in medical claims, CPT/HCPCs and ICD coding What You’ll Do: Executive & Board Support Serve as the principal medical advisor to the Board of Trustees Address Trustee and committee inquiries related to medical issues and coverage Prepare and present recommendations for Benefits Appeal Committee matters Support strategic decision making with clinical expertise   Medical Review Leadership Provide oversight for medical necessity determinations, coverage decisions and appeals Guide pharmacy benefit evaluations in partnership with Pharmacy leadership In conjunction with the Medical Review Director, provide medical guidance and oversight for medical staff reviews of preauthorizations, medical necessity decisions, coverage determinations, appeals and grievances, post-service reviews, and claim reviews Serve as a medical resource for provider-related issues; and assist with network strategy and future provider partnerships Support development and maintenance of medical policies and clinical guidelines Provide medical direction for case management programs Assist with coding policy guidance as applicable (CPT/HCPCS/ICD)   Second-level Appeals and Complex Cases Supervise review of high complexity appeals and disputed claims Offer clinical guidelines for difficult Participant situations. Ensure fair, consistent and evidence-based guidelines   Compliance and Communications Ensure medical components of Plan documents are accurate and current Contribute clinical content to Participant communications and publications Provide medical consultation to Legal, Compliance and external counsel   Compensation & Benefits: The anticipated base salary for this part-time, 3 days/week, position is $210,000 annually with free benefits. The actual base salary offered will depend on a variety of factors, including without limitation, the qualifications of the individual applicant for the position, years of relevant experience, level of education attained, certifications or other professional licenses held. MPI offers a comprehensive benefits package, including free medical, dental, and vision coverage, life insurance, generous paid time off, retirement benefits, and professional development opportunities. Local candidates only, relocation assistance is not provided.