Market Chief Medical Officer

Company: Humana
Location: Corpus Christi
Posted on: May 3, 2024

Job Description:

*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 Market CMO over our Corpus Christi and El Paso markets you will plan, organize, manage, and supervise health care services offered in the medical centers. Work in conjunction with the Area Medical Directors to motivate and provide medical direction in pursuit of cost effective, quality healthcare.At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.* 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.* 99% Leadership, 1% limited/occasional coverage* 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*Use your skills to make an impact **Required Qualifications** Graduate of accredited MD or DO program of accredited university* Master's Degree* Licensure requirements of the state of jurisdiction* Prefer Internal Medicine specialty* Board Certification in Family Medicine, Internal Medicine, or Geriatric Medicine* 8 or more years of technical experience* 5 or more years of management experience* 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 experiences*Preferred Qualifications** Knowledge of Medicaid and Medicare programs* Excellent oral and written communication skills* Good understanding of best practice coding and documentation in value-based environment*Additional Information** 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.Job Type: Full-timePay: $265,500.00 - $365,200.00 per yearBenefits:* 401(k)* 401(k) matching* Dental insurance* Employee assistance program* Flexible spending account* Health insurance* Health savings account* Life insurance* Paid time off* Parental leave* Relocation assistance* Tuition reimbursement* Vision insuranceSchedule:* Monday to FridaySupplemental pay types:* Bonus opportunities* Signing bonusWork Location: In personby Jobble

Keywords: Humana, Victoria , Market Chief Medical Officer, Executive , Corpus Christi, Texas