Chief Medical Officer - Work From Home

Posted on

Jun 14, 2021

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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 an in-depth understanding of how organization capabilities interrelate across segments and / or enterprise-wide.

Responsibilities

• 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.
• Engage in speaking engagements to provide thought leadership on behalf of Humana Group Medicare.
• Oversee quality improvement and HEDIS / STARS metrics to improve 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 regarding Humana clinical model of care and other programs designed to positively impact overall member health.
• Be an integral part of the GM Leadership team and lead thought leadership internally and externally on behalf of Group Medicare.
• Assist with network development and provider contracting with various providers and ancillary providers.
• Be well versed on financial aspects of various levels of risk-bearing contracts.
• 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

Scheduled Weekly Hours

Company info

Humana Inc.

Website : http : / / www.humana.com

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