Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country. It operates over 400 centers across 15 states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a diverse care team supporting patient's physical, emotional, and social wellness.
The Physician Lead serves as a clinician and able to handle a variety of health-related problems. You will work on problems of diverse scope and complexity ranging from moderate to substantial.
You will report directly to the Market CMO and will in person at our Kansas City outpatient clinics and be directly responsible for
· Administrative oversight and outcomes determined by the Clinical / Operational Leadership of the Market
· Spending 60% of time clinically focused on direct patient care, with the remaining time dedicated to administrative responsibilities related to oversight of clinical provision of care including:
Work with Market CMO and Operational Leadership to:
o Grow the Model of Care
o Create profit improvement projects
o Design operational implementations
o Contribute to the strategic intent
Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in:
o Maintaining Collaborative / Supervisory Agreements per state protocols
o Help with panel management
o Providing direct education to clinicians around clinical protocols / disease
o Prevalence / appropriate levels of clinical quality care
o Providing guidance to individual clinicians about patient terminations, in
o Collaboration with Compliance
o Supporting clinicians with schedule templates, coverage, daily issues
o Managing behavioral concerns of supervised staff
o Help with PTO Management
o Help with CME time and reimbursement requests
o Help with completion of performance reviews
o Assisting in resolution of inquiries, requests, and complaints from clinical staff
o Helping organize team building activities
o Assisting in resolution of inquiries, requests, and complaints from patients
Ongoing chart review / audit of clinical staff to ensure quality care and identifying opportunities for education/coaching
· Identifying trends and areas of opportunity in pharmacy use (pharmacy management) to affect Part D per Member per Month (PMPM) costs while maintaining high-quality care
· Optimizing network; preferred network specialists – contributing to the identification of preferred network specialists to optimized delivery of care for ongoing maintenance / cost-saving opportunities
· Making decisions related to the identification and mitigation of complex technical and operational problems within clinics/centers
o Managing financial / operational performance of their assigned clinics to ensure success
o Participating in provider committees (i.e. Technology Governance, EMR Optimization) and attending meetings
o Participating in Shared Service Strategy Meetings
o Participating in quality improvement programs, population health programs, continuing education, and other patient care programs established by clinical requirements
o Helping recruit and interviewing of potential clinical staff
o Participating in patient retention and marketing activities
o Serving as a community representative in the media and press activities
o Other responsibilities as directed by the Market CMO
#LI-CB1
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 yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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 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 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 at CenterWell.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 is a leading health care 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 health care that is accessible, comprehensive, and, most of all, personalized. As the largest provider of senior-focused primary care, one of the leading providers of home health care, 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.
