Market CMO

Req Number:R-327052
Category: Physician
Posted Date: April 3, 2024

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Market CMO

Location:
Corpus Christi, TX
Schedule:
Full_time
Req:
R-327052

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Work Locations: Corpus Christi, TX, US,

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

The Market CMO serves as a health-care professional and capable of handling a variety of health-related problems. The Market CMO requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

  • As Market CMO over our Corpus Christi and El Paso markets you will plan, organize, manage, and supervise health care services offered in the medical centers. Work in conjunction with the Area Medical Directors to motivate and provide medical direction in pursuit of cost effective, quality healthcare.

    • Plan, organize, manage, and supervise the roles of the Center Medical Directors.
    • Identify physician recruitment needs and collaborate in the hiring and contracting of providers.
    • Establish work schedules and assignments for medical staff according to workload, space and equipment and center needs.
    • Oversee daily operations of physician services.
    • 99% Leadership, 1% limited/occasional coverage
    • Build strong relationship with specialist, hospitalist, SNF and other providers to form a narrow network of quality service focused on senior population health
    • Responsible for medical interpretation, reviews, and decisions as required for plan administration.
    • Monitor medical performance and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective utilization practices.
    • Oversee the development, revision, and implementation of policies and procedures, systems, programs, and standards for health care services.
    • Represent the organization in community and marketing events.
    • Develop and maintain compliance with the departmental and physician budgets.
    • Assess, develop, and recommend strategies for compliance with regulatory requirements.
    • Develop and maintain an effective relationship with all departments providing medical guidance and expertise.
    • Develop, implement, and monitor the outcomes of utilization review and disease management programs to meet the quality and cost expectation of.
    • Identify trends of over- and under-utilization and implement actions plans to improve.
    • Direct and orient physicians in the correct application of approved guidelines. .
    • Oversee the operations of the wellness activities and medical department.
    • Guide and enforce Perfect Service Standards (Customer Service).
    • Other duties as requested

    At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

Use your skills to make an impact
 

  • Required Qualifications
    • Graduate of accredited MD or DO program of accredited university
    • Master's Degree
    • Licensure requirements of the state of jurisdiction
    • Prefer Internal Medicine specialty
    • Board Certification in Family Medicine, Internal Medicine, or Geriatric Medicine
    • 8 or more years of technical experience
    • 5 or more years of management experience
    • This role is considered patient facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
    • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

    Preferred Qualifications

    • Knowledge of Medicaid and Medicare programs
    • Excellent oral and written communication skills
    • Good understanding of best practice coding and documentation in value-based environment

    Additional Information

    • 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. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.
    • Accountable: You meet clearly stated expectations and take responsibility for achieving results.
    • Clinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care. Understands the medical utilization implications of such programs
    • Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.

Scheduled Weekly Hours

40

Pay 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.

 

$265,500 – $365,200 per year

 

This 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.

About Us
 

About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients’ well-being.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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.


If you are an existing CenterWell or Humana associate, please apply through go/associatecareers using a Chrome or Edge browser.

Request an accommodation

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact yourcareer@humana.com for assistance.

Employment Fraud Notice

Conviva will never ask a candidate for money for work equipment and network access or request access to personal accounts during the application process. Learn more about identifying and preventing employment fraud or report a suspected employment fraud case.

California Residents

If you are a California resident and would like to review our California Consumer Privacy Act (CCPA) Policy click here: CA Resident Privacy Policy

Group of clinical providers

Learn more about Conviva

As one of the nation’s leaders in home healthcare, Conviva has been providing personalized, compassionate care to patients for more than 40 years. We put patients and their families at the center of everything we do, helping them lead healthier, happier lives. Our skilled care teams deliver comprehensive, personalized care to help patients recover in the comfort and safety of home. Through our multi-disciplinary approach, we give patients the tools they need to manage their health with confidence, maintain their independence and get back to doing what they love.

Our Growing National Footprint

Conviva Care Center® is on the fast track of becoming the nation’s preeminent provider of primary care for adults ages 65 and older.

Our mission is to deliver best-in-class wellness and preventative care to seniors that improves not only their health, but the quality of their lives.

United States map. Conviva does business in Texas and Florida.

Employee Benefits

Conviva benefit plans vary by role and location. Generally, our benefits package includes:

Our Hiring Process

Apply

Interested in learning more about the position? Contact the recruiter or apply online. Unfortunately, we cannot accept resumes through email. Once you find a position that interests you, simply click “Apply”, then follow the steps to complete your application. During the application process, be sure to upload an updated resume as you cannot edit this field once your application has been submitted. The application process usually takes around 15 minutes to complete. Shortly after submitting your application, you will receive a confirmation.

Next step

If you are selected to move forward with the interview process, you will be contacted via text or email to schedule an initial phone or video interview

A hiring manager interview

Our hiring managers and interview teams will carefully review the skills and experiences of applicants then contact the top candidates by email or phone to schedule an interview.

Offer from Conviva

When you’ve successfully completed the interview process and are identified as a candidate we would like to hire, you will receive an offer from our Talent Acquisition team.

Onboarding

If you accept the offer to join our Conviva team, you will receive a welcome phone call or email to begin the onboarding process.

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

The Market CMO serves as a health-care professional and capable of handling a variety of health-related problems. The Market CMO requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

  • As Market CMO over our Corpus Christi and El Paso markets you will plan, organize, manage, and supervise health care services offered in the medical centers. Work in conjunction with the Area Medical Directors to motivate and provide medical direction in pursuit of cost effective, quality healthcare.

    • Plan, organize, manage, and supervise the roles of the Center Medical Directors.
    • Identify physician recruitment needs and collaborate in the hiring and contracting of providers.
    • Establish work schedules and assignments for medical staff according to workload, space and equipment and center needs.
    • Oversee daily operations of physician services.
    • 99% Leadership, 1% limited/occasional coverage
    • Build strong relationship with specialist, hospitalist, SNF and other providers to form a narrow network of quality service focused on senior population health
    • Responsible for medical interpretation, reviews, and decisions as required for plan administration.
    • Monitor medical performance and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective utilization practices.
    • Oversee the development, revision, and implementation of policies and procedures, systems, programs, and standards for health care services.
    • Represent the organization in community and marketing events.
    • Develop and maintain compliance with the departmental and physician budgets.
    • Assess, develop, and recommend strategies for compliance with regulatory requirements.
    • Develop and maintain an effective relationship with all departments providing medical guidance and expertise.
    • Develop, implement, and monitor the outcomes of utilization review and disease management programs to meet the quality and cost expectation of.
    • Identify trends of over- and under-utilization and implement actions plans to improve.
    • Direct and orient physicians in the correct application of approved guidelines. .
    • Oversee the operations of the wellness activities and medical department.
    • Guide and enforce Perfect Service Standards (Customer Service).
    • Other duties as requested

    At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

Use your skills to make an impact
 

  • Required Qualifications
    • Graduate of accredited MD or DO program of accredited university
    • Master's Degree
    • Licensure requirements of the state of jurisdiction
    • Prefer Internal Medicine specialty
    • Board Certification in Family Medicine, Internal Medicine, or Geriatric Medicine
    • 8 or more years of technical experience
    • 5 or more years of management experience
    • This role is considered patient facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
    • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

    Preferred Qualifications

    • Knowledge of Medicaid and Medicare programs
    • Excellent oral and written communication skills
    • Good understanding of best practice coding and documentation in value-based environment

    Additional Information

    • 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. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.
    • Accountable: You meet clearly stated expectations and take responsibility for achieving results.
    • Clinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care. Understands the medical utilization implications of such programs
    • Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.

Scheduled Weekly Hours

40

Pay 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.

 

$265,500 – $365,200 per year

 

This 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.

About Us
 

About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients’ well-being.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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.


If you are an existing CenterWell or Humana associate, please apply through go/associatecareers using a Chrome or Edge browser.

Request an accommodation

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact yourcareer@humana.com for assistance.

Employment Fraud Notice

Conviva will never ask a candidate for money for work equipment and network access or request access to personal accounts during the application process. Learn more about identifying and preventing employment fraud or report a suspected employment fraud case.

California Resident Applicants

If you are a California resident applying for a position and would like to review our California Applicant Privacy Policy, click here:
CA Resident Applicant Privacy Policy

Caring is everything

And when you work here, you feel it. It’s how you grow. It’s how you’re welcomed into the associate community. It’s what guides us in putting health first. And it forms the connection each of us have for the people we serve.

Your growth drives us forward

When you get here, the journey is just beginning. We want to help you take charge of your path, no matter what shape it takes.

Together, we put health first

Every day, we work together to apply our collective insight, talent, and creativity to improving people’s long-term health. And you can too.

You’re welcome here

We pride ourselves on being a place where, no matter who you are, where you come from, or what you do, you feel that you belong.

Every role impacts real people

Work alongside people who have a common passion to care for people who need it.

Building a culture of belonging

We strive to create a culture where everyone feels welcome, supported, and empowered to being their authentic selves to work. At Conviva, we recognize diversity enhances our ability to understand and serve our members and communities.

Our Hiring Process

Conviva_Apply

Apply online

To be considered for a job at Conviva, you must apply online. Unfortunately, we cannot accept resumes through email. Once you find a position that interests you, simply click “Apply”, then follow the steps to complete your application. During the application process, be sure to upload an updated resume as you cannot edit this field once your application has been submitted. The application process usually takes around 15 minutes to complete. Shortly after submitting your application, you will receive a confirmation.

Conviva_Next-Steps

Next step

If you are selected to move forward with the interview process, you will be contacted via text or email and asked to complete an assessment or schedule an initial phone or video interview.

Conviva_Interview

A hiring manager interview

Our hiring managers and interview teams will carefully review the skills and experiences of applicants then contact the top candidates by email or phone to schedule an interview.

Conviva_Offer

Offer from Conviva

When you’ve successfully completed the interview process and are identified as a candidate we would like to hire, you will receive an offer from our Talent Acquisition team.

Onboarding

If you accept the offer to join our Conviva team, you will receive a welcome phone call or email to begin the onboarding process.