The Regional Chief Medical Officer (CMO) is an entrepreneurial & experienced physician leader committed to the principles of comprehensive primary care and unlocking the power of value-based care for patients at national scale.  S/he will be a proven clinician, leader, and strategist capable of driving the highest standards of care, building high-performance care teams, developing clinical leadership talent, and quantifiably improving outcomes and performance across multiple geographies. 

The Regional CMO will directly lead a team of regional & area medical directors and serve as dyad partner to the Regional Market President for one of the Primary Care Organization’s regions across the nation where CenterWell and/or Conviva serve patients.  The Regional CMO will report to the Chief Medical Officer of the Primary Care Organization.  This role requires periodic travel to markets (40% or less) to meet with national and regional teams and should be based in one of our current or upcoming CenterWell or Conviva markets.

Responsibilities

Drive Clinical Excellence in Culture & Performance

·       Build a best-in-class culture of engaged clinicians, focused on patient-focused care and clinical excellence, where doing the right thing for patients and team-based care within a value-based care framework, drives success and pride

·       Drive patient outcomes and population impact across regions for optimal results, across patient care experience & engagement, disease prevalence, quality/STARS, efficiency of care, and improved clinical outcomes and utilization. 

·       Identify and act on opportunities to better manage & coordinate with high-quality specialist, hospital, and community partners to serve patient needs and deepen our impact

·       Practice ~10% clinically within your home market, to maintain clinical skills and familiarity with our seniors’ needs and the daily environment of our clinicians

Build & Sustain High-Quality Primary Care Teams & Leadership

·       Attract, coach, and develop regional clinical leaders in the principles and activities of value-based care, team leadership, and driving clinical excellence & performance

·       Ensure appropriate, timely recruiting and onboarding of high-quality primary care clinicians to serve our seniors, supporting regional leaders and functional leaders in developing high-quality pipelines and ensuring 100% staffing for patient needs

·       Continuously improve teamwork and collaboration at the regional and center levels to shift the needle in population outcomes

Effectively Partner as Dyad Clinical Leader

·       Partner cohesively with Regional Market President as a leadership dyad for the region across all dimensions of success, building an effective and collaborative working relationship where patient-first culture and clinically-led decision-making drives growth, clinical excellence, performance & outcomes

·       Work with Regional Market President, regional dyads, and shared service leaders, to drive continuous improvement in operations, patient care, and outcomes

·       Collaborate with Regional Market President, regional dyads, and shared service leaders to support organic and inorganic patient growth, through strategies to improve our patient value proposition and experience of care, market expansion, acquisitions, and IPA relationships to ensure clinical integration and effectiveness

National Leadership & Innovation

·       In partnership with the Chief Medical Officer and Primary Care Organization leadership, lead the organization’s national clinical focus in one or more key areas, as assigned, such as care model development, clinical operations, quality & clinical excellence, and technology enablement & analytics to advance our clinical team, care model, and patient care operations

·       Channel the voices of our patients and teams to build awareness of the Primary Care Organization regionally and nationally, through research/publications around our care model and population impact, strengthening our presence with best-in-class clinical talent recruiting channels such as top-tier training programs and schools, and speaking opportunities

·       Effectively identify and act on opportunities to bring Humana’s enterprise capabilities and programs to bear to support the Primary Care Organization, our patients, and our teams in delivering world-class care and outcomes

Preferred Qualifications

·       A passion for serving high-risk seniors in achieving their best health and outcomes and the clinical experience to bring deep knowledge of patient needs & the communities we serve

·       A track record clinical leadership of multiple clinical teams across geographies and programs, preferably in a medical group and ambulatory care environments

·       Experience identifying & implementing clinician-led strategies to improve outcomes & performance

·       Expertise in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment, and clinical programming in primary care, complex care, or adjacent areas

·       Deep knowledge of principles & operations of team-based care models

·       Proven convener of high-quality clinical talent and ability to develop next-generation clinical leaders

·       The attitude and experience to strengthen a patient-centered culture that is clinically-led

·       Strategic problem-solver with examples of driving change initiatives with measurable impact on patient care and outcomes

·       Understanding of health plan frameworks in Medicare Advantage and managed care that affect patient care and population management, such as quality management, utilization management, network management, and payment frameworks (e.g. capitation, partial risk, direct contracting)

·       Multi-site clinic start-up experience
 

Minimum Qualifications

·       Seven plus years of experience as a practicing physician, and five plus years of strategic clinical leadership experience at a regional or national level

·       Graduate of accredited MD or DO program of accredited university

·       Active Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine with continued certification throughout employment

·       Current, unrestricted medical licensure in applicable state(s) and willingness to be licensed in additional states, as required by the organization

Healthcare is not just about health anymore. It is about caring for family, friends, finances, and personal life goals. It is about living life fully. At Humana’s Primary Care Organization (PCO) we want to help people everywhere, including our associates, live their best life.  At Humana’s PCO, we are seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.  

Scheduled Weekly Hours