Market CMO, Centerwell Senior Primary Care - Arizona

Humana Inc; Hyde Park Township (IL); Remote; USD 270,000 - 379,000; Full time

Job summary

Join a forward-thinking organization dedicated to enhancing health care for seniors. As a Market CMO, you will lead and manage health services, ensuring quality and cost-effective care. This role involves collaboration with medical directors, overseeing physician operations, and developing strategies for compliance and performance improvement. You will play a crucial role in building strong relationships with health providers and ensuring that patients receive the best possible care. If you're passionate about making a meaningful impact in the health care sector, this opportunity is perfect for you.

Benefits

Health Insurance on Day One

CME Allowance/Time

Occurrence Malpractice Insurance

401(k) with Employer Match

Life Insurance/Disability

Paid Time Off/Holidays

Minimal Call

Qualifications

• Experience leading clinical practice operations.
• Must have a valid, unrestricted medical license.

Responsibilities

• Plan, organize, and supervise health care services.
• Oversee daily operations of physician services.

Skills

Interpersonal Skills

Communication Skills

Problem Solving

Clinical Knowledge

Technological Savvy

Education

Doctor of Medicine or Osteopathic Medicine

Board Eligible or Board Certified

Tools

EMR

Job description

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

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.

As a Market CMO you will plan, organize, manage and supervise health care services offered in the medical centers. Work in conjunction with the Center Medical Directors to motivate and provide medical direction in pursuit of cost effective, quality healthcare.

1. Plan, organize, manage and supervise the roles of the Center Medical Directors.
2. Identify physician recruitment needs and collaborate in the hiring and contracting of providers.
3. Establish work schedules and assignments for medical staff according to workload, space and equipment and center needs.
4. Oversee daily operations of physician services.
5. Build strong relationships with specialists, hospitalists, SNF and other providers to form a narrow network of quality service focused on senior population health.
6. Responsible for medical interpretation, reviews, and decisions as required for plan administration.
7. 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.
8. Oversee the development, revision, and implementation of policies and procedures, systems, programs and standards for health care services.
9. Represent the organization in community and marketing events.
10. Develop and maintain compliance with the departmental and physician budgets.
11. Assess, develop and recommend strategies for compliance with regulatory requirements.
12. Develop and maintain an effective relationship with all departments providing medical guidance and expertise.
13. Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and cost expectations.
14. Identify trends of over- and under-utilization and implement action plans to improve.
15. Direct and orient physicians in the correct application of approved guidelines.
16. Oversee the operations of the wellness activities and medical department.
17. Guide and enforce Perfect Service Standards (Customer Service).
18. Other duties as requested.

Use your skills to make an impact

Required Qualifications

• Doctor of Medicine or Osteopathic Medicine
• Board Eligible or Board certified in Geriatric Medicine, Family Medicine or Internal Medicine
• American Board of Physician Specialties (ABPS) is also recognized by our organization
• Valid, unrestricted license in the state of desired employment
• Experience leading clinical practice operations
• Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients
• Willingness and ability to learn/adapt to practice in a value-based care setting
• Basic computer skills, including email and EMR
• This role is considered patient facing and is part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Preferred Qualifications

• Active and unrestricted DEA license
• Medicare Provider Number
• Medicaid Provider Number
• Minimum of three to five years directly applicable experience preferred
• Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment.
• Knowledge of Medicare guidelines and coverage.
• Knowledge of HEDIS quality indicators.
• Good understanding of best practice coding and documentation in value-based environment.
• Leveraging Technology: You are technologically savvy and know how to appropriately share and use your knowledge to improve business results.
• Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving.
• Accountable: You meet clearly stated expectations and take responsibility for achieving results.
• Clinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care.
• Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.

Additional Information

• Guaranteed base salary + bonus
• Excellent benefit package – health insurance effective on your first day of employment
• CME Allowance/Time
• Occurrence Malpractice Insurance
• 401(k) with Employer Match
• Life Insurance/Disability
• Paid Time Off/Holidays
• Minimal call

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being.

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.

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, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.

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 protected veteran status.