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In this role, you will work closely with the clinical education, learning and market implementation teams under the CenterWell Primary Care Organization. Collaboratively with market leadership, you will train primary care providers in quality-based, senior-focused medicine for existing and new centers in the PCO. As a provider trainer, you will be the ambassador for value-based, senior care model in the primary care network.
The main responsibilities of the role are:
• Develop, plan, organize, and supervise training for primary care providers including principles of population health, value-based care, senior care. May also need to incorporate EMR, compliance, primary care policy and procedure, coding and documentation, quality, utilization, customer service standards, team communication as needed. Training could occur in-person in markets and virtually through live and recorded sessions.
• Serve as faculty for provider onboarding program.
• Monitor medical performance through direct observation, chart review, data review, and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective utilization practices.
• Work collaboratively with implementation teams, compliance, market teams and PCO leadership to identify training needs for providers.
• Represent the organization in recruiting and marketing events as needed.
• Maintain active clinical practice in the local market for a portion of the time. This is currently set to 20%.
Education/Credentials/Experience:
• Graduate of accredited NP or PA program with certification in Family Medicine, Internal Medicine or Geriatric Medicine with continued certification throughout employment.
• Maintain license in state of practice.
• Experience supporting and facilitating training initiatives for providers.
• Clinical and operational leadership experience in the areas of Population Health Management, Practice Management, (VBC) Value Based Care and/or healthcare operations setting, preferably in Medicare Advantage programs.
• Strong knowledge of MA coding and documentation policies and procedures in a value-based care model, prior teaching experience preferred.
• Basic computer skills: Microsoft Office applications, Word and Excel, email, apps, and navigating the EMR. eCW experience is preferred.
• Ability to travel up to 30%, largely within local and regional markets.
Key Competencies
• Leveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results.
• Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving.
• Accountable: You meet clearly stated expectations and take responsibility for achieving results; as a shared service team member, your primary customer orientation will be to front-line staff and market leaders.
• Clinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care. You are comfortable practicing Geriatric care in a value-based care model.
• Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.
Reporting Relationships
You will report to the National Director, Clinical Education. This area is under the leadership of Humana’s Primary Care Organization- Chief Transformation Officer.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$102,200 - $140,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Full Time
Insurance
$113k-141k (estimate)
06/20/2024
08/19/2024
humana.com
TEMPE, AZ
15,000 - 50,000
1961
ALISON RITCHHART
>$50B
Insurance
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms when and where they need it. Our employees are at the heart of making this happen and thats why we are dedicated to building an organization of dynamic talent whose experience and passion center on puttin...g the customer first.
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