Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in Rogers, AR
View more jobs in Arkansas

Job Details

Chief Medical Officer - Work From Home

Company name
Humana Inc.

Location
Rogers, AR, United States

Employment Type
Full-Time

Industry
Work At Home, Healthcare, Clevel, Executive, Manager, 100k

Posted on
Jun 14, 2021

Apply for this job






Profile

Description

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.

Responsibilities

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 complaints

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 Medicare.

Assist with network development and provider contracting with various providers and ancillary providers.

Well versed on financial aspect of various levels of risk bearing contracts.

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.

Required Qualifications

A current and unrestricted license in at least one jurisdiction and willing to obtain license

Physician (MD/DO), Nurse Practitioner, Physician Assistant, Registered Nurse

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

40

Company info

Humana Inc.
Website : http://www.humana.com

EmploymentCrossing is great because it brings all of the jobs to one site. You don't have to go all over the place to find jobs.
Kim Bennett - Iowa,
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
HealthcareCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
HealthcareCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2024 HealthcareCrossing - All rights reserved. 169 192