Chief Medical Officer - Work From Home
Location: San Juan
Posted on: September 22, 2022
Jun 14, 2021 Apply for this job your email:
The Chief Medical Officer, Group Medicare relies on the medical
background to create and oversee clinical strategy for the Group
Medicare business. The CMO Group Medicare, requires and in-depth
understanding of how organization capabilities interrelate across
segments and/or enterprise-wide.
The CMO Group Medicare will provide medical leadership and strategy
for the GM business.
Work with local market utilization management and case management
teams for inpatient cases.
Participate in Quality Operations including Quality Management
Committee, monitor initial peer review on quality of care
Participate in National, Regional and local meetings of
organizations of interest to Group Medicare
Speaking engagements to provide thought leadership on behalf of
Humana Group Medicare
Oversee quality improvement and HEDIS/STARS metrics to improvement
with corporate and local market resources.
Provide guidance for the implementation of regional clinical
programs and strategies, as well as, developing and implementing
national strategies overall and for individual clients.
Attend current/future client meetings to deliver insights re:
Humana clinical model of care and other programs designed to
positively impact overall member health.
The CMO Group Medicare will be an integral part of the GM
Leadership team and will be responsible to lead and provide thought
leadership internally and externally on behalf of Group
Assist with network development and provider contracting with
various providers and ancillary providers.
Well versed on financial aspect of various levels of risk bearing
Ability to thrive in a matrix environment.
Work collaboratively with account and sales teams to deliver our
superior clinical experience story to all our audiences.
A current and unrestricted license in at least one jurisdiction and
willing to obtain license
Physician (MD/DO), Nurse Practitioner, Physician Assistant,
Excellent communication and presentation skills
5 years of established clinical experience.
Knowledge of the managed care industry including Medicare, Medicaid
and or Commercial products.
Must be passionate about contributing to an organization focused on
continuously improving consumer experiences.
Scheduled Weekly Hours
40Company infoHumana Inc.
Website : http://www.humana.com
Alternate Locations: Work from Home; US All RegionsWork
Arrangement: Work from HomeRelocation assistance: : is not
available for this opportunity.Pay Range: $111,500 - $241,500Bonus
Potential: 20%Requisition #: 692... Alternate Locations: Work from
Home; US All RegionsWork Arrangement: Work from HomeRelocation
assistance: : will be considered/provided for this opportunity
within our company guidelines.Pay Range: $111,500 - $241,500Bo...
Job InformationHumanaAssociate VP, Research Consulting-Humana
Healthcare Research (HHR).inSan JuanPuerto RicoDescriptionThe AVP
requires an in-depth understanding of how organization capabilities
interrelate across segments...
Keywords: Clevelcrossing, McAllen , Chief Medical Officer - Work From Home, Executive , San Juan, Texas
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