Chief Medical Officer/Regional VP Health Services

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Job Information
Humana
Chief Medical Officer/Regional VP, Health Services
in
Tulsa
Oklahoma
Description
For more than 60 years, Humana's business has centered around human care, rooted in empathy and understanding, with the goal of whole-person well-being. That means holistic clinical capabilities; right-time, right-place intervention; and an integrated experience that meets our members' physical, emotional and social needs.
As a company whose primary focus is on the well-being of its members, Humana is dedicated to shifting perceptions of the health insurance industry. We believe our role goes beyond that of a provider to that of a well-being partner who will empower consumers to live a life that is healthy, active and rewarding.
Responsibilities
The Chief Medical Officer/Regional VP, Health Services will provide medical leadership and strategy for the Health Services Operations and our Oklahoma Medicaid work.
Responsibilities include, but are not limited to:
Oversee health services staff
Develop, guide, and execute Humana's medical and utilization review and strategy
Ensure proper services are being delivered to our members
Represent Humana on state of Oklahoma governing bodies
Represent Humana in various Oklahoma forums in which the Chief Medical Officer is required
Consult with other physicians throughout the state of Oklahoma on medical cases
Required Qualifications
MD or DO degree
5 or more years of established clinical experience, either in a hospital or clinic setting
8 or more years of direct leadership experience
Current and unrestricted Oklahoma medical license and/or willing to obtain an Oklahoma medical license
Excellent communication skills
Analysis and interpretation skills with prior experience leading teams focusing on quality management or utilization management
Passion for contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial product
Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.
Internal medicine, family practice, geriatrics, hospitalist, ER, PM&R, pediatrics, and/or clinical specialist experience
Additional Information
Incumbent must live in the state of Oklahoma and have the ability to work in the office whenever needed
Requires travel as business needs dictate
Work-At-Home Requirements: To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates 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; Associates 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 associates 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
COVID Policy: We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve. Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.
#PhysicianCareer
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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