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The National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for the medical direction, clinical oversight, and advancement of CenterWell Senior Primary Care’s (and Conviva Senior Primary Care’s) Home-Based Care portfolio, serving the highest-need and most complex senior patients.

This role will lead clinical strategy, quality improvement, and care delivery innovation for chronically and temporarily homebound, polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy Advancement and Operations Director and works cross-functionally with operations, analytics, medical economics, technology, and finance teams to optimize patient outcomes, improve clinical workflows, and drive scalable models of care. The Medical Director will provide medical leadership to multidisciplinary teams, partner with vendor clinicians and care teams, and ensure the delivery of evidence-based, patient-centered care that reduces avoidable hospitalizations and enhances patient experience and safety.

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Key Responsibilities

Portfolio Scope

• Integrated Home Care Program – Provide clinical leadership for the Integrated Home Care Program by overseeing in-home care delivery for bedbound and medically complex patients, ensuring alignment with national guidelines, CMS requirements, Humana policies, and clinical standards. Collaborate closely with primary care physicians and advanced practice providers to support high-quality, coordinated care.
• Avoidable ED Impact – Lead medical strategy to reduce avoidable ED visits, including oversight of clinical protocols with vendor partners (e.g., Dispatch Health), ensuring appropriate triage and escalation for patients receiving urgent care at home.
• Primary Care – Home Health care model integration – Develop and integrate clinical models to enhance coordination between primary care and home health providers, focusing on post-acute and longitudinal home health patients to minimize preventable (re)admissions.
• Evaluate and champion new clinical programs that advance the Home-Based Care strategic plan.

Clinical Leadership & Excellence

• Translate strategic initiatives into actionable clinical protocols, pathways, and guidelines, with measurable clinical outcomes.
• Provide direct oversight of clinical operations in home-based care, ensuring alignment with best practices, regulatory standards, and organizational goals.
• Monitor clinical quality, patient safety, and care outcomes, implementing evidence-based interventions to address gaps and optimize performance.
• Collaborate with operational leaders to design and execute long-term clinical strategies for the Home-Based Care portfolio.

Strategic Clinical Expansion

• Assess new markets for clinical expansion, evaluating population health needs, feasibility, and regulatory considerations.
• Build scalable clinical infrastructure, including standardized training for clinicians, orientation materials, and ongoing education frameworks to support program growth.
• Support technology and workflow innovation (e.g., telehealth, remote monitoring) to enhance care delivery and provider efficiency.

Team Leadership and Interdisciplinary Collaboration

• Lead and mentor multidisciplinary clinical teams, fostering a culture of clinical excellence, collaboration, and continuous professional development.
• Build strong relationships with internal and external clinical stakeholders, including vendor medical leadership, community partners, and regulatory agencies.
• Partner with analytics teams to review clinical data and utilize insights for continuous program improvement.
• Work collaboratively with the Strategy Advancement and Operations Director to align clinical and operational priorities.

Quality Improvement and Outcomes Management

• Develop and oversee robust clinical quality evaluation frameworks to monitor program outcomes, adherence to benchmarks, and ROI.
• Analyze clinical data to identify opportunities for improvement and implement rapid cycle process improvement methodologies.
• Lead the development and implementation of corrective action plans for identified clinical performance gaps.
• Maintain current knowledge of industry trends, evidence-based guidelines, and regulatory requirements impacting home-based care.

Resource Management and Clinical Oversight

• Provide clinical input into budget planning and resource allocation to support cl