CDI Medical Director - Southeast Division

Profile

Description

Assignment Capsule:

Be a part of a team that's dedicated to improving the health and well-being of our members, our associates, and the communities we serve. This position offers an exciting opportunity to provide clinical leadership in Humana's Retail Organization influencing three key areas: Provider Relations, Clinical Outcomes, and Medical Cost Trend.

Responsibilities


Serve as the clinical leader supporting value-based innovation and pilots with network providers across the Southeast Division
Consult with and interface closely with the Office of the Chief Medical Officer (OCMO) and other corporate clinical resources, collaboratively representing market specific input and Provider Development strategies, while also incorporating guidance from and ensuring alignment with OCMO initiatives
Play a lead role, nationally and within the division, regarding Care Insights and other physician-focused related initiatives and tools. Work directly with market-based PCPs and Specialists in terms to improve both their efficiency and effectiveness, explaining the analysis and offering insights
Serve as a divisional point of contact for our internal regional teams, and our value-based provider groups regarding Care Insights, meeting face-to-face and 'Dr. to Dr. to explain, educate, promote and roll out Care Insights and related physician-focused initiatives
Interface with the National Contracting team, as well as other areas of Provider Development (PDCoE, Strategy & Analytics, Care Delivery Organization), provide internal consulting-based clinical guidance to enhance strategy & improve outcomes.


Key Competencies


Leads Positively: Leads by example to cultivate a climate of motivation, positive energy and meaning in work. Assesses, selects, recognizes, develops, and empowers diverse talent.
Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints.
Acts Strategically: Makes decisions and sets strategy based on the long-term vision, uses an enterprise-wide perspective to translate strategies into actions, inspires others to embrace and advance the strategy, and creates a clear view of the future state.
Leads Change: Guides and energizes others, models adaptability, and inspires strong organizational performance through periods of transformation, ambiguity, and complexity.


Role Essentials


MD/DO
Board Certified with an ABMS approved specialty.
Active, unrestricted State License.
Minimum of 5 years medical management leadership experience.
Effective influencing without formal authority: working through others for personal and organizational success.
Ability to manage multiple projects and priorities effectively and to accept direction according to the market needs and priorities.
Excellent presentation and analytical skills.
Exceptional written and oral communication skills to a wide range of both internal and external audiences.
Ability to rapidly build positive relationships with providers at all levels in the marketplace


Role Desirables


Prior experience in Health Plan operations, provider education, or provider networking
Master's Degree in Business Administration or a related field




Ideal candidate will reside in the Atlanta, Knoxville, Miami, Louisville or Tampa area.

Open to 50% travel is a must.

Scheduled Weekly Hours

40

Company info

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