RMD - Virtual Care

Become a part of our caring community and help us put health first

Primary Care Organization is seeking a Project Orion Market CMO to create and implement clinical processes and programs to ensure that Project Orion is stood up to successfully operate across 3 initial markets. This role is responsible for developing a detailed clinical, Stars, MRA and Trend strategy which aligns to the overall goals of Humana. We are seeking an individual who will bring exceptional leadership and vision, assume broad responsibility for clinical leadership across the three markets, and form key relationships with Retail operation in Stars, MRA, Trend and PCO and Retail Market teams.

The Project Orion The Market CMO serves as a health-care professional and capable of handling a variety of health-related problems. The Market CMO requires an in-depth understanding of how organization capabilities interrelate across the function or segment. This role will also work cross-functionally with corporate leaders across the organization.

Key Responsibilities: As Market CMO over Project Orion market you will plan, organize, manage, and supervise health care services offered in virtual-first medical centers in three initial launch states of Florida, Texas and Mississippi. You will be responsible for hiring and providing provide medical direction in pursuit of cost effective, quality healthcare to all clinicians within Project Orion.

• Plan, organize, manage, and supervise the roles of the physician leader in each of our three launch states
• Identify physician recruitment needs and collaborate in the hiring and contracting of providers.
• Establish work schedules and assignments for medical staff according to workload, space and equipment and center needs.
• Oversee daily operations of physician services.
• 99% Leadership, 1% limited/occasional coverage
• Build strong relationship with specialist, hospitalist, SNF and other providers to form a narrow network of quality service focused on senior population health
• Responsible for medical interpretation, reviews, and decisions as required for plan administration.
• Monitor medical performance and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective utilization practices.
• Oversee the development, revision, and implementation of policies and procedures, systems, programs, and standards for health care services.
• Represent the organization in community and marketing events.
• Develop and maintain compliance with the departmental and physician budgets.
• Assess, develop, and recommend strategies for compliance with regulatory requirements.
• Develop and maintain an effective relationship with all departments providing medical guidance and expertise.
• Develop, implement, and monitor the outcomes of utilization review and disease management programs to meet the quality and cost expectation of.
• Identify trends of over- and under-utilization and implement actions plans to improve.
• Direct and orient physicians in the correct application of approved guidelines. .
• Oversee the operations of the wellness activities and medical department.
• Guide and enforce Perfect Service Standards (Customer Service).
• Other duties as requested
  
  

At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

Required Qualifications

Use your skills to make an impact

• Master's Degree
• Graduate of accredited MD or DO program of accredited university
• 8 or more years of technical experience
• 5 or more years of management experience
• Licensure requirements of the state of jurisdiction
• Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  
  

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$270,800 - $378,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description Of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.