Market CMO, Primary Care

Humana Inc.; Lafayette (LA); On-site; USD 180,000 - 240,000; Full time

Job summary

Humana Inc. is seeking a Market Chief Medical Officer, Primary Care, to lead clinical teams across Louisiana/Mississippi centers. The role blends clinical practice with leadership, financial acumen, and strategic partnership to optimize patient care and business outcomes.

The CMO will develop policies, drive quality initiatives, and ensure regulatory adherence while guiding AMDs and physician leads toward a patient-first culture and high performance.

Qualifications

• Clinical leadership experience across multi-center primary care settings.
• Ability to interview, hire, onboard, and supervise clinical teams.
• Strong track record in quality improvement, regulatory adherence, and performance coaching.

Responsibilities

• Develop and implement clinical policies aligned with VBC principles.
• Drive quality improvement initiatives and monitor KPIs.
• Ensure regulatory adherence and patient safety standards.
• Manage medical staff and contract providers across centers.
• Collaborate with executive leadership to align medical services with goals.
• Engage market leadership, clinicians, and operations through regular visits and meetings.
• Lead performance reviews using dashboards and data tools.
• Build relationships with health plan partners, hospitals, and community partners.
• Support post-merger integration and clinical/operational procedures.

Skills

Clinical leadership

Staff management

Interviewing & onboarding

Quality improvement

Strategic partnership

Data-driven decision making

Regulatory compliance

Cross-functional collaboration

Performance coaching

Tools

EMR systems

Data analytics tools

Job description

Become a part of our caring community

The Market CMO, Primary Care, role is an instrumental clinical leader of our primary care team, combining clinical practice experience with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care (VBC) principles. This market specific role requires flexibility to adapt responsibilities as needed and demands a unique blend of clinical management, financial/business acumen, excellence in clinical and operational processes, and strategic partnership across the Primary Care Organization (PCO) to optimize patient care and business outcomes. This role oversees and leads Associate Medical Directors (AMDs) and/or Physician Leads across multiple centers in the Louisiana/Mississippi regions. Candidates should ideally live in the region or be willing to relocate.

Responsibilities include developing and implementing clinical policies, driving quality improvement initiatives, ensuring regulatory adherence, managing medical staff, and collaborating with executive leadership to align medical services with organizational goals

Leadership & Organizational Management

• - Understand organizational & market priorities, trends, and goals, to develop a clinical strategy to advance clinical talent and performance
• - Manage and actively participate in the process of interviewing, hiring, onboarding, and supervising clinical teams, including contract providers
• - Develop a high-quality clinical leadership team with an emphasis on strong engagement, creating a patient-first culture, and retaining top talent
• - Closely engage and communicate with market clinical leadership, clinicians, operations, and care teams. Conduct regular onsite center visits, holding regular individual 1:1s with direct reports and skip level 1:1s, clinician pod meetings, and actively participating in regular leadership meetings and clinician pod meetings
• - In partnership with Market President and National Specialty team, build strong relationships with specialty providers and networks of quality service focused on senior population health
• - Deeply understand, support, and improve primary care clinician performance through understanding of individual & care team context, effective use of data, real-time feedback, and effective coaching of clinical leaders, clinicians and care teams
• - In collaboration with Market President, engage in regular center and market performance (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, clinical initiatives, growth and marketing
• - Build strong relationships/networks to champion our senior-focused primary care strategic vision and initiatives and foster stakeholder relationships, including health plan partners, healthcare providers (e.g. specialists, hospitals), community partners, and social services, to improve our community of care locally
• - May represent CenterWell/Conviva brands in local communities and related media activities while collaborating with the recruitment team to build and network a pipeline of high-quality primary care clinicians (physicians, APPs, MAs, and other clinical professionals)
• - Utilize clinical performance dashboards and data tools to support performance analysis, outcomes focus, and targeted strategy development
• - Foster a culture of continuous learning and professional growth among clinical teams
• - Builds the strategic framework and clinical culture that ensures proper clinician conduct and improves the overall patient experience.
• - Partners and collaborates with the acquisition team, HR, and other key stakeholders throughout the merger/acquisition process, including decision making, integration and supporting post-acquisition clinical and operational procedures and processes

Clinical/Patient Management

• - Foster a robust patient-centered and value-based clinical vision, strategy, and culture locally that orients care teams around excellence in patient care
• - Deliver leading clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization
• - Periodically review clinician charts to identify opportunities in care, ensuring clinical assessments are accurate and that performance improvement and coaching initiatives are precise
• - Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving clinical excellence
• - Ensure clinicians effectively co-manage high risk episodes of care and patients with partnered Care Integration Team (CIT) resources and programs for transitions of care management (TCM), high-risk patient management (HRPM), and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization
• - Monitor and manage daily patient care and initiatives to improve team-based key performance indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals
• - Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and cost expectations.
• - Identify trends of over-and under-utilization and implement actions plans to improve
• - May spend 0 -