Physician Lead

Humana Inc; Portland (TX); On-site; USD 292,000 - 342,000; Full time

Job summary

Conviva Senior Primary Care, part of Humana, is seeking a Physician Lead to blend direct patient care with clinical leadership across centers in the market. You will drive value-based care initiatives, oversee multidisciplinary teams, and partner with operational leaders to align clinical and business goals.

You'll spend most of your time in direct patient care while also guiding performance through data, coaching, and performance reviews in a collaborative, patient-first environment.

Qualifications

• MD/DO licensure in the applicable state
• 8+ years of clinical practice
• 2+ years of project leadership experience
• Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine
• Role is patient-facing and TB screening required
• Passion for improving consumer patient experiences

Responsibilities

• Lead clinical teams across centers with a focus on quality and value-based care
• Recruit, hire, and supervise clinicians to build a high-engagement team
• Conduct regular onsite visits, 1:1s, and leadership meetings
• Coach clinicians with data-driven feedback to improve performance
• Review charts to identify care opportunities and drive improvements
• Serve as back-up on-call physician
• Partner with operational leaders to align clinical and operational goals
• Monitor KPIs and use dashboards to drive outcomes

Skills

Leadership

Hiring & Mentoring

Clinical Leadership

Staff Development

Data-driven Performance

Education

MD/DO

Licensure in state of jurisdiction

Board Certification in Family Medicine/Internal Medicine/Geriatric Medicine

Job description

Become a part of our caring community

The Physician Lead combines direct patient care with clinical leadership responsibilities to execute clinical and operational strategies across multiple centers, ensuring high-quality, value-based care. This role reports directly to the Market CMO, Primary Care, or Associate Medical Director (AMD) and provides leadership to a team of clinicians within a designated market, serving also as an extension of the clinical dyad model in partnership with operational leaders. Together, the Physician Lead and operational leaders provide administrative oversight and advance the model of care, drive performance, and execute on individualized initiatives. Responsibilities, leadership scope, direct patient care time allocation, and outcomes may vary as determined by market clinical and operational leadership.

Leadership & Organizational Management

• Oversee other clinicians, which include Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA)

• In conjunction with clinical leadership, actively participate in interviewing, hiring, and supervising clinical teams to staff and develop a high-quality clinical team with strong engagement, patient-first culture, and talent retention

• Closely engage and communicate with clinicians and care teams, conducting regular onsite center visits, holding regular individual 1:1s and clinician pod meetings, and actively participating in leadership meetings

• Deeply understand, support, and improve primary care clinician performance through understanding of individual & care team context, effective use of data, and effective coaching of clinicians and care teams

• Familiarity with clinical performance dashboards and data tools to support performance analysis, outcomes focus, and targeted strategy development in collaboration with direct leader

• Foster a culture of continuous learning, mentorship, and professional growth among clinical teams

• Assisting team with PTO management, CME time and reimbursement requests

• Conduct performance reviews and real-time feedback in partnership with direct leader

• Assisting in resolution of inquiries, requests, and complaints from patients and clinical staff

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, teamwork, and outcomes

• 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

• Participate as a back-up on-call physician

• Identify critical issues for high-risk patients during case reviews & other forums, and model and drive clinical excellence

• Conduct root cause analysis of care opportunities from both individual, team, and systems perspectives and partner with clinical and operational colleagues to improve high-reliability care as a team

• 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 patient care and initiatives to improve team-based key performance indicators (KPIs), such as patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals

• Personally deliver high-quality primary care and demonstrate a high degree of patient care ownership and clinical excellence in age-friendly senior primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management

• Spend 50-80% of time on direct patient care, with remaining time dedicated to administrative responsibilities. The percentage of time may vary by market needs and by staffing levels throughout the year

• Support clinical quality performance improvement in areas such as MRA, Stars, total cost of care to include prevention of unnecessary utilization through provider education and coaching

• Promote team-based care delivery and foster collaboration across interdisciplinary teams

• Optimizing network of preferred specialists - to optimize delivery of care for ongoing maintenance and cost saving opportunities

Dyad Partnership:

• Dyad with operational leaders (CAs and/or Associate Operations Director) and Shared Services partners to align on clinical and operational goals, and strategic planning

• Maintain regular communication to align on performance, strategies, and team communication and management, ensuring unified decision-making and consistent messaging for cohesive leadership

• Work together towards common goals that support the mission, vision, values, and overall patient experience outcomes, managing clinic/ dynamics and engagement

• Partner with AOD and/or CA on strategic and operational insights and monitor clinical & financial performance and metrics

• Review clinician schedules and incentive plans with AOD to align with patient care access and management goals

• Collaborate with dyad partners in organizing team building activities

• Collaborate to manage performance/behavioral/disciplinary issues

• Partnering with HR Business Partners to execute HR initiatives

Use your skills to make an impact

Required Qualifications

• MD/DO

• 8 or more years of clinical experience

• 2 or more years of project leadership experience

• Licensure requirements of the state of jurisdiction

• Graduate of accredited MD or DO program of accredited university

• Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine

• This role is considered patient facing and is part of Humana/Senior Bridge's 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 patient 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 a coordinated care environment in a value-based relationship environment.

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.

$292,000 - $341,500 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana's Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer atCenterWell.com.

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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources