About this opportunity
Centerwell lists this Physician Lead opportunity in savannah, Georgia. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Become a part of our caring community
nHumana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 340 centers across fifteen states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness.
nAt 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.
nThe Physician Lead serves as a health-care professional and capable of handling a variety of health-related problems. The Physician Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
n***** $75,000 Sign-on Bonus *****
nThe Physician Lead (PL) serves as a leader to a team of clinicians in a designated market responsible for handling a variety of health-related problems and educating patients and their families on wellness, prevention, and early detection. The PL is responsible for executing the clinical strategy through the management of their own patient panel as well as those of the clinicians whom they lead.
nThe PL reports directly to the Market CMO and is directly responsible for
nnnAdministrative oversight and outcomes determined by the Clinical / Operational Leadership of the Market
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nnSpend a portion of time clinically-focused on direct patient care, with the remaining time dedicated to administrative duties related to oversight of clinical provision of care including, but not limited to:
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n nWorking collaboratively with Market CMO and Operational Leadership to:
nnnAdvance the Model of Care
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nnCreate profit improvement initiatives
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nnDesign operational implementations
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nnContribute to the strategic intent
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n nOverseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in:
nnnMaintaining Collaborative / Supervisory Agreements per state protocols
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nnAssisting with panel management
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nnProviding direct education to clinicians around clinical protocols / disease
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nnprevalence / appropriate levels of clinical quality care
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nnProviding guidance to individual clinicians about patient terminations, in
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nncollaboration with Compliance
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nnSupporting clinicians with schedule templates, coverage, daily issues
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nnManaging behavioral concerns of supervised staff
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nnAssisting with PTO Management
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nnAssisting with CME time and reimbursement requests
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nnAssisting with completion of performance reviews
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nnAssisting in resolution of inquiries, requests, and complaints from clinical staff
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nnAssisting in organizing team building activities
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nnAssisting in resolution of inquiries, requests, and complaints from patients
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nnOngoing chart review / audit of clinical staff to ensure quality care and identifying opportunities for education/coaching
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nnIdentifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member per Month (PMPM) costs while maintaining high quality care
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nnOptimizing network; preferred network specialists - contributing to the identification of preferred network specialists to optimized delivery of care for ongoing maintenance / cost saving opportunities
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n nMaking decisions related to the identification and mitigation of complex technical and operational problems within clinics/centers
nnnManaging financial / operational performance of their assigned clinics to ensure success
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nnParticipating in provider committees (i.e. Technology Governance, EMR Optimization, etc.) and attending meetings regularly
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nnParticipating in Shared Service Strategy Meetings
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nnParticipating in quality improvement programs, population health programs, continuing education, and other patient care programs established by clinical requirements
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nnAssisting in recruiting and interviewing of potential clinical staff
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nnParticipating in patient retention and marketing activities as required
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nnServing as a community representative in the media and press activities
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n nOther duties as directed by the Market CMO
nnnMaintaining confidentiality of all patient information according to both state and federalguidelines and regulations
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nnMaintaining medical history and medical records
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nnOrdering studies, tests and ancillary services
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nnParticipating as a back-up on-call physician
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nnPrescribing medical treatment and clinical drugs to patients
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nnReferring patients to specialists as needed
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n nUse your skills to make an impact
nRequired Qualifications
nnnMD/DO
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nn8 or more years of clinical experience
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nn2 or more years of project leadership experience
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nnLicensure requirements of the state of jurisdiction
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nnGraduate of accredited MD or DO program of accredited university
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nnBoard Certification in Family Medicine, Internal Medicine or Geriatric Medicine
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nnThis 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.
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nnMust be passionate about contributing to an organization focused on continuously improving consumer patient experiences
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n nPreferred Qualifications
nnnActive and unrestricted DEA license
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nnMedicare Provider Number
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nnMedicaid Provider Number
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nnMinimum of three to five years directly applicable experience preferred
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nnExperience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment.
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nnKnowledge of Medicare guidelines and coverage.
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nnKnowledge of HEDIS quality indicators
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nnGood understanding of best practice coding and documentation in value based environment
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nnLeveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results.
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nnProblem 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.
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nnAccountable: You meet clearly stated expectations and take responsibility for achieving results.
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nnClinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care. Understands the medical utilization implications of such programs
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nnCommunication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.
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n n#LI-DT1
nScheduled Weekly Hours
n40
nPay Range
nThe 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.
n$292,000 - $341,500 per year
nThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
nDescription of Benefits
nHumana, 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.
nAbout Us
nAbout CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.
nAbout CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.
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nEqual Opportunity Employer
nIt 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.
nCenterwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options
Worksite address
savannah, GA, 31441, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.