The Physician Lead combines direct patient care with clinical leadership responsibilities to execute clinical and operational strategies across multiple centers, ensuring high-quality, value-based care. This role reports directly to the Market CMO and provides leadership to a team of clinicians within the Houston market, serving also as an extension of the clinical dyad model in partnership with operational leaders. Together, the Physician Lead and operational leaders provide administrative oversight and advance the model of care, drive performance, and execute on individualized initiatives. Responsibilities, leadership scope, direct patient care time allocation, and outcomes may vary as determined by market clinical and operational leadership.
Leadership & Organizational Management
- Oversee other clinicians, which include Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA)
- In conjunction with clinical leadership, actively participate in interviewing, hiring, and supervising clinical teams to staff and develop a high-quality clinical team with strong engagement, patient-first culture, and talent retention
- Closely engage and communicate with clinicians and care teams, conducting regular onsite center visits, holding regular individual 1:1s and clinician pod meetings, and actively participating in leadership meetings
- Deeply understand, support, and improve primary care clinician performance through understanding of individual & care team context, effective use of data, and effective coaching of clinicians and care teams
- Familiarity with clinical performance dashboards and data tools to support performance analysis, outcomes focus, and targeted strategy development in collaboration with direct leader
- Foster a culture of continuous learning, mentorship, and professional growth among clinical teams
- Assisting team with PTO management, CME time and reimbursement requests
- Conduct performance reviews and real-time feedback in partnership with direct leader
- Assisting in resolution of inquiries, requests, and complaints from patients and clinical staff
Clinical/Patient Management:
- Foster a robust patient-centered and value-based clinical vision, strategy, and culture locally that orients care teams around excellence in patient care, teamwork, and outcomes
- Deliver leading clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization
- Periodically review clinician charts to identify opportunities in care, ensuring clinical assessments are accurate and that performance improvement and coaching initiatives are precise
- Participate as a back-up on-call physician
- Identify critical issues for high-risk patients during case reviews & other forums, and model and drive clinical excellence
- Conduct root cause analysis of care opportunities from both individual, team, and systems perspectives and partner with clinical and operational colleagues to improve high-reliability care as a team
- Ensure clinicians effectively co-manage high-risk episodes of care and patients with partnered Care Integration Team (CIT) resources and programs for transitions of care management (TCM), high-risk patient management (HRPM), and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization
- Monitor and manage patient care and initiatives to improve team-based key performance indicators (KPIs), such as patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals
- Personally deliver high-quality primary care and demonstrate a high degree of patient care ownership and clinical excellence in age-friendly senior primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management
- Spend 50-80% of time on direct patient care, with remaining time dedicated to administrative responsibilities. The percentage of time may vary by market needs and by staffing levels throughout the year
- Support clinical quality performance improvement in areas such as MRA, Stars, total cost of care to include prevention of unnecessary utilization through provider education and coaching
- Promote team-based care delivery and foster collaboration across interdisciplinary teams
- Optimizing network of preferred specialists - to optimize delivery of care for ongoing maintenance and cost saving opportunities
Dyad Partnership:
- Dyad with operational leaders (CAs and/or Associate Operations Director) and Shared Services partners to align on clinical and operational goals, and strategic planning
- Maintain regular communication to align on performance, strategies, and team communication and management, ensuring unified decision-making and consistent messaging for cohesive leadership
- Work together towards common goals that support the mission, vision, values, and overall patient experience outcomes, managing clinic/ dynamics and engagement
- Partner with AOD and/or CA on strategic and operational insights and monitor clinical & financial performance and metrics
- Review clinician schedules and incentive plans with AOD to align with patient care access and management goals
- Collaborate with dyad partners in organizing team building activities
- Collaborate to manage performance/behavioral/disciplinary issues
- Partnering with HR Business Partners to execute HR initiatives
Use your skills to make an impact Required Qualifications- MD/DO
- 2 or more years of clinical experience
- Licensure requirements of the state of jurisdiction
- Graduate of accredited MD or DO program of accredited university
- Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine
- 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 patient experiences
Preferred Qualifications- Experience managing Medicare Advantage panel of patients with understanding of Best Practice in a coordinated care environment in a value-based relationship environment.
Scheduled Weekly Hours40
Pay RangeThe 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.
$321,200 - $375,650 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of BenefitsHumana, 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.
