Market CMO, Palm Beach

3 days left

Employer
Humana
Location
Delray Beach, Florida
Salary
Not Specified
Posted
Feb 23, 2024
Closes
Apr 22, 2024
Ref
6831159#GIJtoGJS.1
Industry
Insurance
Category
Insurance
Workplace
In-Office
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 segments and/or enterprise wide.

As a Conviva Market CMO 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.

  • 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

Conviva Physician Group, has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. We have experience in both the treatment and management of most chronic and acute-care conditions with the practices also providing health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.

At Conviva Physician Group, 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.

Use your skills to make an impact

Required Qualifications

  • Graduate of accredited MD or DO program of accredited university
  • 10 or more years of technical experience
  • 8 or more years of management experience
  • Licensure requirements of the state of jurisdiction
  • Prefer Internal Medicine specialty
  • 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 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.

#LI-229965953_JT1

Scheduled Weekly Hours

40

About us

About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana's Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

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