VP, Centerwell PCO, IPA CMO Position Available In Kennebec, Maine

VP, Centerwell

PCO, IPA CMO

at Centerwell in Augusta, Maine, United States Job Description Become a part of our caring community and help us put health first The Primary Care Organization (PCO), is looking for high potential candidates who are looking to accelerate their career development and contribute to driving disruption in the health care industry. The PCO provides primary care medical group practice with centers in Florida, Arizona, Georgia, Kansas, Louisiana, Missouri, Nevada, Missouri, North Carolina, South Carolina, Texas, Mississippi, Indiana, Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. At PCO 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. PCO-IPA Our Independent Practice Association business consists of 182 affiliate organizations, 13,000 providers taking care of 75,000 patients across 4 states and growing every day! We are opening in 3 additional markets this year. The IPA was recently centralized into its own business unit, and we are very excited to invest in and grow this business so that it can be the growth engine for the Centwell and Conviva business going forward. This is an incredibly exciting opportunity to help shape the future of this business at a critical stage in our growth! The IPA Chief Medical Officer (CMO) is an entrepreneurial & experienced physician leader committed to the principles of comprehensive primary care and unlocking the power of value-based care for patients at national scale. S/he will be a proven clinician, leader, and strategist capable of driving the highest standards of care, building high-performance care teams, developing clinical leadership talent, and quantifiably improving outcomes and performance across multiple geographies. The IPA CMO will develop and support the MSO’s National Clinical Vision and Strategy, directly lead a team of regional & area medical directors and serve as dyad partner to National Operations Leader across the nation where CenterWell and/or Conviva serve patients. The IPA CMO will report to the SVP, Chief MSO & Medical Business Leader for the Primary Care Organization. This role will also have. Dotted line to the

SVP, CMO PCO

to be tighly connected to the rest of the clinical organization. This role requires travel to markets (up to 50%) to meet with national and regional teams and should be based in one of our current or upcoming CenterWell or Conviva markets. Use your skills to make an impact Responsibilities Drive Clinical Excellence in Culture & Performance + Build a best-in-class culture of engaged clinicians, focused on patient-focused care and clinical excellence, where doing the right thing for patients and team-based care within a value-based care framework, drives success and pride + Drive patient outcomes and population impact across regions for optimal results, across patient care experience & engagement, disease prevalence, quality/STARS, efficiency of care, and improved clinical outcomes and utilization. + Identify and act on opportunities to better manage & coordinate with high-quality specialist, hospital, and community partners to serve patient needs and deepen our impact + Practice ~10% clinically within your home market, to maintain clinical skills and familiarity with our seniors’ needs and the daily environment of our clinicians Build & Sustain High-Quality Primary Care Teams & Leadership + Attract, coach, and develop regional clinical leaders in the principles and activities of value-based care, team leadership, and driving clinical excellence & performance + Ensure appropriate, timely recruiting and onboarding of high-quality primary care clinicians to serve our seniors, supporting regional leaders and functional leaders in developing high-quality pipelines and ensuring 100% staffing for patient needs + Continuously improve teamwork and collaboration at the regional and center levels to shift the needle in population outcomes. + Launch and lead a Clinical Advisory workgroup that include a physician from each of the regions. Effectively Partner as Dyad Clinical Leader + Partner cohesively with National Operations Leader as a leadership dyad for the region across all dimensions of success, building an effective and collaborative working relationship where patient-first culture and clinically-led decision-making drives growth, clinical excellence, performance & outcomes + Work with National Operations Leader, Regional Market presidents, regional dyads, and shared service leaders to design new programs, optimize initiatives, drive continuous improvement in operations, patient care, and outcomes + Collaborate with National Operations Leader, Regional Market Presidents regional dyads, and shared service leaders to support organic and inorganic patient growth, through strategies to improve our patient value proposition and experience of care, market expansion, acquisitions, and IPA relationships to ensure clinical integration and effectiveness National Leadership & Innovation + In partnership with the Chief Management Services Officer, Chief Medical Officer and Primary Care Organization leadership, lead the organization’s national clinical focus in one or more key areas, as assigned, such as care model development, clinical operations, quality & clinical excellence, and technology enablement & analytics to advance our clinical team, care model, and patient care operations + Channel the voices of our patients and teams to build awareness of the Primary Care Organization regionally and nationally, through research/publications around our care model and population impact, strengthening our presence with best-in-class clinical talent recruiting channels such as top-tier training programs and schools, and speaking opportunities + Effectively identify and act on opportunities to bring Humana’s enterprise capabilities and programs to bear to support the Primary Care Organization, our patients, and our teams in delivering world-class care and outcomes Required Qualifications + Expertise in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment, and clinical programming in primary care, complex care, or adjacent areas + Deep knowledge of principles & operations of team-based care models + Proven convener of high-quality clinical talent and ability to develop next-generation clinical leaders + Experience identifying & implementing clinician-led strategies to improve outcomes & performance + Exceptional interpersonal and influencing skills. The attitude and experience to strengthen a patient-centered culture that is clinically led + Strategic problem-solver with examples of driving change initiatives with measurable impact on patient care and outcomes + Understanding of health plan frameworks in Medicare Advantage and managed care that affect patient care and population management, such as quality management, utilization management, network management, and payment frameworks (e.g. capitation, partial risk, direct contracting) + Population health minded physician with an understanding of, and supportive of independent physician practices. + A passion for serving high-risk seniors in achieving their best health and outcomes and the clinical experience to bring deep knowledge of patient needs & the communities we serve + Seven plus years of expe