How to Be the Chief Medical Officer for a MAC - A PNC Classic from 2020

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Dr. Meredith Loveless, an OB-GYN physician, shares her career shift from academic medicine to becoming Chief Medical Officer for CGS Administrators, a Medicare Administrative Contractor. After helping establish pediatric and adolescent gynecology programs at Johns Hopkins and the University of Louisville, she found herself carrying an unsustainable workload when her department shrank from five physicians to two—prompting her to explore non-clinical paths where she could apply her experience in medical writing and policy.

She describes the world of Medicare administration, where Contract Medical Directors are responsible for creating Local Coverage Determinations—policies that guide what treatments and services Medicare will cover based on medical evidence. With the introduction of the 21st Century Cures Act, these policies now require greater transparency and rigor, opening the door for physicians with strong clinical and writing backgrounds to contribute meaningfully to federal healthcare decision-making.

Dr. Loveless also outlines what the role involves day-to-day, including frequent travel, collaboration with subject matter experts, and the long timelines often needed to develop and implement coverage policies. She offers a grounded look at Medicare administration, challenging misconceptions while showing how physicians can move into policy work that influences care access and quality for millions of people—bringing clinical expertise into one of healthcare's most impactful arenas.

You'll find links mentioned in the episode at nonclinicalphysicians.com/chief-medical-officer-for-a-mac/