Family Medicine, Medical Doctor

Job Title: Primary Care Physician

Become a part of our caring community and help us put health first.

About Humana's Primary Care Organization

Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating multiple centers across eight states under two brands. Our clinics offer a team-based care model where physicians lead a multi-disciplinary care team supporting patients' physical, emotional, and social wellness.

The Role of a Primary Care Physician

The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value-based care provider focused on quality of care for the patients we serve. Our care team consists of doctors, advanced practice professionals, pharmacists, care coaches, nurses, medical assistants, behavioral health specialists, quality-based coders, referral coordinators, and more.

Responsibilities

• Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
• Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment, and home health care.
• Helps regional medical director and center administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
• Completes all medical record documentation in a timely manner working with a quality-based coder to optimize coding specificity.
• Follows policy and protocol defined by clinical leadership.
• Meets with RMD about quality of care, review of outcome data, policy, procedure, and records issues.
• Participates in potential growth opportunities for new or existing services within the Center.
• Participates in the local primary care 'on-call' program of CenterWell as needed.

Requirements

• Current and unrestricted medical license or willingness to obtain a medical license in the state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required.
• Graduate of accredited MD or DO program of accredited university.
• Excellent verbal and written communication skills.
• Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients.
• Fully engaged in the concept of 'Integrated team based care' model.
• Willingness and ability to learn/adapt to practice in a value-based care setting.
• Superior patient/customer service.
• Basic computer skills, including email and EMR.

Preferred Qualifications

• Board certification or eligibility to become certified (ABMS or AOA) in Family Medicine, Internal Medicine, or Geriatric Medicine preferred.
• Active and unrestricted DEA license.
• Medicare Provider Number.
• Minimum of two to five years directly applicable experience preferred.
• Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment.
• Knowledge of Medicare guidelines and coverage.
• Knowledge of HEDIS quality indicators.
• Bilingual in Spanish and English.