Chief Medical Officer - Regional VP Health Services

3 days ago

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Humana

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10,000+

Description

• Provide medical leadership and strategy for Health Services Operations • Oversee regional utilization management and case management for inpatient cases • Participate in Quality/Population Health Operations • Oversee administrative budget for regional HSO, Quality Improvement, Population Health, Pharmacy and Care Management • Oversee Quality Improvement and HEDIS/STARS metrics improvement • Manage internal operational/functional relationships and partner across shared service and support functions • Assist with network development and provider contracting • Serve as clinical liaison with inpatient facilities • Well-versed on financial aspects of various levels of risk bearing contracts • Ability to thrive in a highly matrix environment

Requirements

• 8 or more years of management experience • Must live in Wisconsin and have a current/unrestricted medical license and willing to obtain license, as required, for various states in region of assignment • MD or DO degree • Excellent communication skills • 5 years of established clinical experience • Knowledge of the managed care industry including Medicare, Medicaid and or MLTSS products • Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, utilization management, discharge planning and/or home health or rehab • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Benefits

• medical, dental and vision benefits • 401(k) retirement savings plan • paid time off • company and personal holidays • volunteer time off • paid parental and caregiver leave • short-term and long-term disability • life insurance • many other opportunities