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Job Details

Market CMO-CenterWell North Carolina

Location
Charlotte, NC, United States

Posted on
Oct 07, 2022

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Profile

Description

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.

Responsibilities

The Market CMOCenterWell Senior Primary Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. We have experience in both the treatment and management of most chronic and acute-care conditions with the practices also providing health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.Job Duties:* Plan, organize, manage, and supervise the roles of the Center Medical Directors.* Establish work schedules and assignments for medical staff according to workload, space and equipment and center needs.* Oversee daily operations of physician services.* 99% Leadership, 1% limited/occasional coverage* 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.* Develop and maintain compliance with the departmental and physician budgets.* 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 expectations.

Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy.

Required Qualifications


MD/DO
Master's Degree
8 or more years of technical experience
5 or more years of management experience
Licensure requirements of the state of jurisdiction
Graduate of accredited MD or DO program of accredited university
Prefer Internal Medicine specialty
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

Additional Information

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ****

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