Become a part of our caring community and help us put health first
 

Humana’s Primary Care Organization is one of the largest and fastest growing value-based, senior primary care groups in the country, providing care to over 200,000 seniors across 175 sites in a growing number of states through CenterWell & Conviva centers. Our primary care teams are physician-led with smaller panels and multidisciplinary care teams to address seniors’ holistic health needs, across physical, emotional, and social wellness, dedicating the time, attention, and resources that seniors need to thrive. Our centers are conveniently located for patients & families in communities across the country. We are growing quickly and operate as a payor-agnostic, wholly owned division of Humana, with the unique needs of seniors at the center of everything we do.
The Divisional 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 Divisional CMO will directly lead a team of regional & area medical directors and serve as dyad partner to the Divisional President for one of three divisions of the Primary Care Organization, spanning multiple regions and teams where CenterWell and/or Conviva serve patients. The Divisional 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 Divisional President as a leadership dyad for the division 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 Division President, regional dyads, and shared service leaders, to drive continuous improvement in operations, patient care, and outcomes · Collaborate with Divisional 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

Use your skills to make an impact
 

• 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.

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.