The Associate Operations Director (AOD) leads Senior Focused Primary Care clinical operations in a multi-physician office or clinical group typically overseeing 5-10 centers within a market. They ensure the smooth operation and performance of centers within their assigned accountability, handling a range of administrative, operational, growth, and leadership tasks. This role requires a strategic mindset, financial acumen, relationship building proficiencies, strong organizational skills, communication competencies, and a passion for patient care. The AOD develops and implements staffing plans, oversees change, ensures adherence to policies, and procedures, and collaborates with their clinical dyad partner to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/STARs, AHCA, optimal patient scheduling, financial management, patient engagement, recruiting/hiring, and employee and patient retention. Responsibilities include resolving complex technical and operational issues and overseeing multiple managers/supervisors or specialized professionals. Specific duties may vary by market or center, as determined by local leadership.

KEY RESPONSIBILITIES
• Leadership & Operational/Organizational Management:
• Proven experience in clinical operations and financial management, including P&L responsibilities.
• Proficiency in monitoring and analyzing key performance indicators (KPIs) such as Membership, Retention, Patient Engagement, Access, Scheduling, Referral turnaround time, phone abandonment rates, PCP/voluntary alignment change forms, and more.
• Monitor and manage data analytics, scorecards, cost & utilizations, HCC coding, and NPS Scores, focusing on patient satisfaction and performance improvement.
• Supervision and management of operational staff and guiding them on performance expectations, managing daily schedules, and supporting organizational change management.
• Engage in recruitment, development of internal leaders, and fostering continuous learning and improvement.
• Ensure team of healthcare professionals are trained in the principles and practices of Value Based Care (VBC).
• Responsible for contributing to leadership and financial discussions during monthly meetings with Market CAs and Regional AMD, utilizing exceptional presentation and facilitation skills to simplify complex information and engage audiences.
• Demonstrates strong financial acumen and managing Profit & Loss (P&L) to connect strategy with business results
• Collaborates with Community Engagement Professionals and Providers to develop and execute growth tactics within the center and community. Prioritizes centers for targeted growth investments.
• Evaluates performance of all operational staff directly reporting.
• Ensures accuracy of all supply ordering, invoices, and expense submissions as well as management of VSP resources.
• Ensure all standard operating procedures are adhered to within the center and all compliance required signage is visible in patient-facing areas and back-office to include breakrooms.
• Ensure growth targets and financial levers are understood and being met
• Understand and support center incident reporting and maintenance/facility needs
• Represent CenterWell/Conviva brands in community and media activities while collaborating with the recruitment team to build and network a pipeline of high-quality primary care clinicians (physicians, APPs, MAs, and other clinical professionals)

Clinical/Patient Experience:
• Experienced in managing outpatient care teams to maintain high patient satisfaction and strong brand in the community.
• Ensures centers are focused on obtaining and managing Google reviews.
• Ensure high levels of patient satisfaction by addressing clinician performance issues and fostering a patient-centric environment and culture of care.
• Focus on patient outcomes and integrate VBC principles into daily operations.
• Collaborate with providers on patient terminations in collaboration with compliance.
• Conduct monthly safety audits, manage MSDS and OSHA concerns, and address clinic operation opportunities.
• Ensures Center Administrators are addressing patient service recovering as needed and any clinician concerns are discussed with AMD to define any action.
• Collaborate with providers on patient terminations in compliance with regulations
• Maintains awareness of the competitive health care environment and escalates any issues.
• Ensures centers are completing monthly audits of payor directories to ensure providers within the center are accurately represented. Escalate necessary changes to Market President.

Dyad Partnership:
• Collaborate with the Associate Medical Director to achieve shared goals, ensuring consistent communication and unified decision-making.
• Align on performance management, clinical and operational strategies, growth (sales and retention) tactics, and present a unified voice to respective teams.
• Partner on operational budgeting and strategic planning, determining services, providers, and expected outcomes collaboratively.
• Focus on utilization management and review provider schedules to meet patient access goals, with biannual reviews of incentive plans.
• Monitor and communicate incentive and performance plans effectively.
• Collaborate to manage performance/disciplinary issues, either within the clinical or operational team.
• Ensure patient access across all centers overseeing balancing new patient access and acute needs for existing patients.

Use your skills to make an impact

Required Qualifications
• 5+ years of healthcare management experience in clinical care or related field, with experience driving results in a full-risk VBC environment.
• Bachelor's degree or equivalent experience preferred. Degree preferably in Business administration Healthcare Administration, or a related field
• Strong understanding of healthcare regulations, compliance, and managed care.
• Skilled in EMR systems, DataHub, NPS, and other relevant software tools.
• Current CPR certification
• Must be able to work at the CenterWell Care clinic
• Must have a valid driver's license as there will be travel between centers.
• Demonstrated interpersonal skills, enabling effective interaction both internally and externally with a diverse range of individuals, including physicians, office staff, hospital executives, medical groups, IPAs, community organizations, and other health plan staff.
• Candidates selected for this job will be required to adhere to Humana's flu vaccine policy.
• Solid understanding of medical care delivery, managed care financial arrangements and reimbursement
• Proven ability to function effectively in matrix management environment and as a member of an interdisciplinary team
• Experience managing a budget of $1M+
• This role is considered patient facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB

Preferred Qualifications
• Basic knowledge of Population Health and how it comes to life in a global risk primary care environment
• Familiarity with Medicare and Risk model
• Bilingual in both English and Spanish

Interview Format - HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
Blue Cross and Blue Shield Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities

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.

$104,000 - $143,000 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.