Position Summary: The Chief Medical Officer (CMO) is the senior physician executive responsible for enterprise clinical governance, physician strategy, resident safety, quality, regulatory excellence, physician services, and clinical innovation across a growing skilled nursing enterprise. Reporting to the Chief Executive Officer, the CMO initially oversees four facilities before expanding to enterprise responsibility across a 40-facility portfolio while preserving the statutory responsibilities of each facility Medical Director, Administrator, Governing Body, Director of Nursing, and Compliance Officer. Reporting Relationships: • Reports directly to the Chief Executive Officer. • Partners with the COO, CNO, CFO, Chief Ethics & Compliance Officer and Governing Body. • Provides executive oversight of Facility Medical Directors, attending physicians, and advanced practice providers. Executive Responsibilities: • Lead enterprise clinical strategy. • Standardize evidence-based care. • Oversee physician recruitment, credentialing, privileging, peer review and succession. • Lead QAPI, infection prevention, resident safety and emergency preparedness. • Improve quality, survey readiness and value-based performance. • Represent the organization with hospitals, payers and regulators. Clinical Governance: • Establish enterprise medical policies. • Maintain Medical Director governance model. • Lead serious event review and root-cause analysis. Compliance & Risk: • Partner with Compliance while preserving independence. • Promote documentation integrity and medical necessity. • Support CMS, NYDOH, Medicare and Medicaid compliance. Authority: • Issue interim clinical directives. • Require physician performance review. • Recommend privilege restriction through governance. • Escalate unresolved risks to CEO and Board. Qualifications: • MD/DO with unrestricted NY license. • Board Certified; CMD preferred. • Executive multi-site SNF leadership. • Expertise in CMS, NY regulations, QAPI and value-based care. First-Year Deliverables: • 90 days: enterprise assessment. • 180 days: physician scorecards and dashboards. • 365 days: measurable quality and physician improvements. Executive KPIs: • Resident outcomes. • Risk-adjusted readmissions. • CMS Five-Star trends. • Survey performance. • Physician engagement. • Strategic initiative execution. Executive Competencies: Visionary leadership; executive communication; systems thinking; physician engagement; strategic partnerships; financial stewardship; innovation; change management; Governing Body communication.