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The National Medical Director of Clinical Excellence & Safety is a pivotal leadership position within CenterWell Senior Primary Care. This role is responsible for guiding patient safety initiatives, ensuring clinical quality, and fostering a culture of high reliability throughout our value-based care organization. The Medical Director provides strategic leadership in the development and implementation of evidence-based clinical standards, offers expert guidance to address complex clinical situations, and directs the execution of patient safety policies and programs. Additionally, the role supports provider education by collaborating with the training team to ensure alignment and consistency in messaging, equips clinical leaders with standardized communications, and partners with multidisciplinary teams to drive continuous improvement in care delivery across our primary care network.

Clinical Excellence Leadership

• Oversee the development, implementation, and continuous improvement of clinical programs, including referral standards, clinical pathway adoption, and population health management.
• Act as a clinical advisor in dyad partnership with operators of the Rapid Response Team and Transformation Office, offering real-time clinical expertise and consultative support for operational and care delivery decisions within priority initiatives.
• Establish clinical protocols, quality benchmarks, and performance metrics to define and evaluate the effectiveness of Primary Care providers across the network.
• Serve as the clinical authority for resolving complex clinical issues and deviations from established protocols.
• Supports provider education by coordinating with the training team to ensure consistent messaging and partners with multidisciplinary teams to drive continuous improvement in care delivery across our primary care network.

Patient Safety

• Provide oversight for patient safety activities, including policy management, committee participation, and ongoing program evaluation.
• Lead and facilitate analysis of safety events and collaborate on initiatives to identify and address potential risks.
• Monitor evolving treatment guidelines and evidence-based best practices to inform care standards and enhance the quality and consistency of provider-delivered care.
• Foster relationships with external safety organizations (e.g., ISMP, AHRQ) and guide the implementation of patient safety programs and culture initiatives.

Collaboration, Analytics, and Stakeholder Engagement

• Participate actively in Clinical Excellence Committee and other relevant regional/national committees.
• Collaborate with Regional Chief Medical Officers, Professional Practice Evaluation Committee, and other clinical leaders to promote best practices and advance organizational priorities.
• Represent clinical authority in Rapid Response Team (RRT) and Transitional Medical Operations (TMO) forums.
• Partner with multidisciplinary teams and leverage analytics to evaluate program impact and drive continuous improvement.

Use your skills to make an impact
 

Qualifications:

• MD or DO degree with board certification in a relevant specialty.
• Minimum of 5 years of clinical experience, including experience in a leadership role within a provider organization.
• Proven track record of developing and implementing evidence-based clinical guidelines and patient safety programs.
• Strong understanding of population health management and team-based care.
• Excellent communication, collaboration, and leadership skills.

Preferred Qualifications:

• Experience with value-based, senior-focused care or geriatric populations.
• Knowledge of health informatics and their application in clinical settings.
• Experience in a national or multi-site healthcare organization.

Work at Home Requirements To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may b