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The Market Executive of Clinical Quality will be responsible for driving clinical quality and regulatory metrics by onsite leadership in assigned market. The Market Executive will be accountable for the following: clinical and survey metrics, clinical operations metrics, claims denials, AO/state survey results, risk mitigation, clinical compliance, QAPI adherence and VBP performance. Works closely with area operations and branch leaders on processes, initiatives and relevant in-scope changes or updates.

Essential Functions:( Those functions that the individual who holds the position must be able to perform unaided or with the assistance of reasonable accommodation).

• Drives improvement in clinical quality & regulatory metrics in assigned branches through coaching frontline clinical managers and staff on improving care delivery and documentation requirements.
• Implements and monitors clinical performance of advanced clinical care programs into assigned branches.
• Regularly monitors quality metrics for assigned Market; Reports key insights to AVP of Ops & Area Exec of Clinical Quality and other key Clinical/Ops stakeholders.
• Conducts survey audits to prepare for official surveys and supports locations through survey process.
• Conducts meaningful virtual/in-person branch interactions to drive performance.

Use your skills to make an impact
 

Knowledge/Skills/Abilities/Expectations:

• Knowledge of business management and government regulations; expertise in relevant state regulations and survey activities
• Ability to read, analyze and interpret medical documents, financial reports and legal documents.
• Ability to coach/mentor branch leadership and clinicians to influence changes in day-to-day clinical activities.
• Proactively engages to identify and address issues.
• Expertise in branch-level clinical workflows an organization structure
• Rich analysis of clinical data to derive key insights & opportunities.
• Strong judgement on workflow and process improvement
• Effective influencing and communication
• Strong execution capabilities
• 60- 90 branch in person touchpoints per year
• Travel approximately 50% -75%.

Qualifications:

Education:

• Bachelor’s degree

Licenses/Certification:

• Florida clinical license: Nursing or Therapy

Experience:

• Previous experience in branch leadership (Branch Director/Administrator or Clinical Manager) preferred
• Multi-site leadership preferred
• Home Health experience required
• Knowledge of Homecare Homebase highly preferred

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The 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.

 

$104,000 - $143,000 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, 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.

About us
 

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

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