Remote, Nevada, USA
50 days ago
Associate Director of MSO Operations (Las Vegas)
Become a part of our caring community and help us put health first
 The Associate Director of MSO Operations supports the Las Vegas market.  The Associate Director of MSO Operations will work along with a team of Provider Engagement Specialist and clinical partners, will deploy necessary education, services, and tools to support local affiliate providers in providing higher quality and reduce unnecessary cost of care.   The success of the Associate Director will be measured by meeting the quality and cost goals of the MSO, as well as maintain high level of practice satisfaction and effective management of local field teams.

The Associate Director of MSO operations is a relationship manager and leader in the market who ensures practices are hitting quality and savings targets.  The Associate Director will work with local clinical leaders and market presidents to ensure strategic goals are set and implemented through provider engagement specialist.

Responsibilities

Execute on direction from the National President of MSO Operations, Clinical dyad partners, and/or Market Presidents, and internal team members as necessary to achieve practice value-based care goals.A strong leader to guide Provider Engagement Specialists in individual initiative planning efforts, tailored for each practice.Cultivate in-depth relationships with practices and regional partners, including regular status calls and in-person meetings, to set strategic priorities, report results, monitor utilization and costs, and identify opportunities for growth and savings.Manage the onboarding process of new practices and plan for onboarding success.Partner with MSO growth leadership to support local expansion of the affiliate network with a strong service offering to all customer segments.Facilitate regular meetings with practices to educate practice staff, build MSO buy-in, identify and resolve barriers, monitor progress, and gather practice satisfaction, feedback, and lessons learned
Use your skills to make an impact
 

Required Qualifications

Bachelor's Degree6 or more years of healthcare or managed care with Provider Contracting, Network Management or Provider Relations experience.2 or more years of demonstrated management experience and partnering with senior leadership on strategic initiatives.Ability to travel as needed within Las Vegas, NV and surrounding areas.Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies.Demonstrated ability to manage multiple projects and meet deadlines.Comprehensive knowledge of all Microsoft Office applications.Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Preferred Qualifications

Masters Degree2 or more years of Value Based Care experience.2 or more years of Practice Transformation or Change Management experience.2 or more years of Performance Management in healthcare experience.Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance.Comprehensive knowledge of Medicare policies, processes and procedures.

Additional Information

Alert:

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Interview Format: HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work at Home Statement

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 recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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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.


 

$102,200 - $140,700 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 Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.


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 veteran status. 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.

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