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 care, senior-focused primary care providers in the country, operating multiple centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient’s physical, emotional, and social wellness.Th

The physician lead is directly responsible for:

administrative oversight and outcomes for approximately 8 - 12 clinicians / 4 - 6 centers designated within an area as determined by the clinical / operational leadership of the market

spending 20% - 30% of time clinically focused on direct patient care, with the remaining time dedicated to administrative duties related to oversight of clinical provision of care including, but not limited to:

Working collaboratively with market clinical deader and operational leadership to: advance the model of care, create profit improvement initiatives design operational implementations and contribute to the strategic intent

Overseeing other clinicians which includes physicians, advanced registered nurse practitioners (ARNP), and physicians assistants (PA) in:

Maintaining collaborative / supervisory agreements per state protocols Assisting with panel management

Providing direct education to clinicians around clinical protocols / disease prevalence / appropriate levels of clinical quality care

Providing guidance to individual clinicians about patient terminations, in collaboration with compliance

Supporting clinicians with schedule templates, coverage, daily issues  Managing behavioral concerns of supervised staff

Assisting with PTO management 

Assisting with CME time and reimbursement requests

Assisting with completion of performance reviews

Assisting in resolution of inquiries, requests, and complaints from clinical staff Assisting in organizing team building activities

Assisting in resolution of inquiries, requests, and complaints from patients

Ongoing chart review /audit of clinical staff to ensure quality care and identifying opportunities for education/coaching

Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member per Month (PMPM) costs while maintaining high quality care  Optimizing network; preferred network specialists – contributing to the identification of preferred network specialists to optimized delivery of care for ongoing maintenance / cost saving opportunities Making decisions related to the identification and mitigation of complex technical and operational problems within clinics/centers

Managing financial / operational performance of their assigned clinics to ensure success

Participating in provider committees (i.e. Technology Governance, EMR Optimization, etc.) and attending meeting regularly o Participating in Shared Service Strategy Meetings 1.8.24 o Participating in quality improvement programs, population health programs, continuing education, and other patient care programs established by clinical requirements

Assisting in recruiting and interviewing of potential clinical staff

Participating in patient retention and marketing activities as required

Serving as a community representative in the media and press activities

Other duties as directed by the market clinical leader

Maintaining confidentiality of all patient information according to both state and federal guidelines and regulations

Maintaining medical history and medical records

Ordering studies, tests and ancillary services

Participating as a back-up on-call physician

Prescribing medical treatment and clinical drugs to patients

Referring patients to specialists as needed

Use your skills to make an impact
 

Required Qualifications

• a Bachelor's degree
• two or more years of project leadership experience
• Licensure requirements of the state of jurisdiction
• Graduate of accredited MD or DO program of accredited university
• 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

• Experience working in a value-based care organization
• Board c