Overview
Humana’s Primary Care Organization is one of the largest and fastest growing value‑based care, senior‑focused primary care providers in the country, operating over 340 centers across fifteen states under the brands CenterWell & Conviva. CenterWell Senior Primary Care offers a team‑based care model where physicians lead a multidisciplinary team supporting patient’s physical, emotional, and social wellness.
Responsibilities
- Lead a team of clinicians in a designated market, manage own patient panel and oversee clinical provision of care.
- Provide direct patient care while dedicating time to administrative duties as defined by Market CMO and Clinical/Operational Leadership.
- Collaborate with Market CMO and Operational Leadership to advance the model of care, create profit improvements, design operational implementations, and contribute to strategic intent.
- Oversee other clinicians (Physicians, ARNPs, PAs), maintain collaborative/supervisory agreements, assist with panel management, provide education on clinical protocols, and guide clinicians on patient terminations and compliance.
- Support clinicians with scheduling, coverage, daily issues, behavioral concerns, PTO management, CME requests, performance reviews, and resolution of inquiries and complaints.
- Organize team building activities, conduct ongoing chart review/audit to ensure quality care, and identify opportunities for education/coaching.
- Analyze pharmacy utilization trends to impact Part D costs while maintaining quality care and optimize preferred network specialists for cost savings.
- Make decisions related to complex technical and operational problems within clinics/centers.
- Manage financial and operational performance of assigned clinics, participate in provider committees and quality improvement programs, assist in recruiting and interviewing clinical staff, and engage in patient retention and marketing activities as needed.
- Act as a community representative in media and press activities and perform other duties directed by the Market CMO.
- Maintain confidentiality of patient information, maintain medical history and records, order studies, tests, and ancillary services, serve as a backup on‑call physician, prescribe treatment, and refer patients to specialists.
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 an accredited MD or DO program from an accredited university
- Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine
- Required to be screened for tuberculosis due to participation in Humana/Senior Bridge’s TB screening program.
- Passion for improving consumer patient experiences.
Preferred Qualifications
- Active and unrestricted DEA license
- Medicare Provider Number
- Medicaid Provider Number
- Minimum of three to five years of directly applicable experience preferred
- Experience managing Medicare Advantage panel with understanding of best practices in a value‑based environment
- Knowledge of Medicare guidelines and coverage
- Knowledge of HEDIS quality indicators
- Understanding of coding and documentation best practices in a value‑based environment
- Technological savvy and ability to share knowledge to improve business results
- Strong problem‑solving and collaborative skills
- Accountable and results‑focused mindset
- Clinical knowledge to support consumer medical care design and monitoring
- Excellent communication and active listening skills
Schedule and Compensation
Hours: 40 per week.
Pay Range: $292,000 – $341,500 per year. Compensation may vary based on location and individual qualifications. Eligible for a bonus incentive plan based on company and/or individual performance.
Benefits
Humana offers competitive benefits that support whole‑person well‑being, including medical, dental and vision coverage, 401(k) retirement savings plan, paid time off, paid parental and caregiver leave, short‑term and long‑term disability, life insurance, and other opportunities.
Equal Opportunity Employer
Humana maintains a policy of equal opportunity in employment and refuses to discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. The company also takes affirmative action in accordance with Section 503 of the Rehabilitation Act and VEVRAA, employing and advancing individuals with disability or protected veteran status solely on valid job requirements.