Jacksonville, FL, 32232, USA
4 days ago
Market CMO-Jacksonville
**Become a part of our caring community and help us put health first** The Market CMO serves as a health-care professional and capable of handling a variety of health-related problems. The Market CMO requires an in-depth understanding of how organization capabilities interrelate across the function or segment. As a Market CMO you will plan, organize, manage and supervise health care services offered in the medical centers. Work in conjunction with the Center Medical Directors to motivate and provide medical direction in pursuit of cost effective, quality healthcare. + Plan, organize, manage and supervise the roles of the Center Medical Directors. + Identify physician recruitment needs and collaborate in the hiring and contracting of providers. + Establish work schedules and assignments for medical staff according to workload, space and equipment and center needs. + Oversee daily operations of physician services. + Build strong relationship with specialist, hospitalist, SNF and other providers to form a narrow network of quality service focused on senior population health + Responsible for medical interpretation, reviews, and decisions as required for plan administration. + Monitor medical performance and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective utilization practices. + Oversee the development, revision, and implementation of policies and procedures, systems, programs and standards for health care services. + Represent the organization in community and marketing events. + Develop and maintain compliance with the departmental and physician budgets. + Assess, develop and recommend strategies for compliance with regulatory requirements. + Develop and maintain an effective relationship with all departments providing medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and cost expectation of. + Identify trends of over- and under-utilization and implement actions plans to improve. + Direct and orient physicians in the correct application of approved guidelines. . + Oversee the operations of the wellness activities and medical department. + Guide and enforce Perfect Service Standards (Customer Service). + Other duties as requested **Use your skills to make an impact** **Required Qualifications** + Doctor of Medicine or Osteopathic Medicine + Board Eligible or Board certified in Geriatric Medicine, Family Medicine or Internal Medicine + American Board of Physician Specialties (ABPS) is also recognized by our organization + Valid, unrestricted license in the state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients + Willingness and ability to learn/adapt to practice in a value-based care setting + Basic computer skills, including email and EMR + This role is considered patient facing and is part of our 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** + ·Active and unrestricted DEA license + ·Medicare Provider Number + ·Medicaid Provider Number **Additional Information** **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. $265,500 - $365,200 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 Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **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. Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. https://www.eeoc.gov/sites/default/files/migrated_files/employers/eeoc_self_print_poster.pdf If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact yourcareer@humana.com for assistance.
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