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.
- Plan, organize, manage and supervise the roles of the Center Medical Directors.
- 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.
- 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
Required Qualifications
Use your skills to make an impact
- 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 technological 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. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.
- 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. Understands the medical utilization implications of such programs
- 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
- Relocation and sign-on bonus options (Only Keep as Needed)
- 401(k) with Employer Match
- Life Insurance/Disability
- Paid Time Off/Holidays
- Minimal call
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.
$265,500 - $365,200 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.
