Market President Primary Care Organization - Kansas City Area

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Job Information

Humana

Market President, Primary Care Organization - Kansas City Area

in

Kansas City

Kansas

Description

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 over 175 centers across eight states under two brands: CenterWell & Conviva. Operating as payer-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.

Responsibilities

Primary Care Organization is seeking a Market President to manage the Kansas City area. This role is responsible for developing a detailed market strategy, which aligns to the overall goals of the Primary Care Organization. We are seeking an individual who will bring exceptional leadership and vision, assume broad responsibility for staff leadership across business and clinical operations within the market, and form key relationships with physicians, specialists, hospital networks and health plans within the Kansas City area. This role will also work cross-functionally with corporate leaders across the organization.

In this role you will:

Assume responsibility for the financial performance (P&L) of the market in Kansas City including membership growth and retention, clinic margin performance, and cost control initiatives

Develop strategic relationships with health plan payers in the market with sensitivity to potential partnership & growth opportunities

Ensure successful execution of attracting, developing, motivating, and retaining organizational talent

Lead medical center operations consistent with programs that optimize best practices in patient care to enhance overall patient experience

Drive overall market performance thru oversight of: clinical staffing, clinical coding initiatives, Hedis/Star gap closure and utilization management initiatives

Collaborate with clinical leadership to drive clinical performance and claims cost reduction initiatives

In the future create innovative partnership opportunities with primary care practices in the marketplace to grow our Managed Service (MSO) business

Success in this position shall be measured across several key performance indicators including but not limited to:

Patient satisfaction

Physician engagement/satisfaction

Clinical outcomes

Financial outcome

Operational performance outcomes

Membership growth and retention

Key Candidate Qualifications

Bachelor's Degree

10 years of progressive leadership experience in large, complex, and integrated healthcare or payer setting

Experience in healthcare management and/or operations, Provider Practice/Healthcare or medical center operations

Ability to work effectively with physician and health system leadership with experience in contract negotiation

Proven ability to drive strategy, set and meet established targets, and manage clinical programs

We will require full COVID vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.

If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.

Preferred Qualifications

Master Degree in Health Services or Business Administration preferred

Experience in P&L management and budgeting functions, with progressive business and financial analysis experience with a focus on financial reporting, resource prioritization, variance analysis

5 years of leadership experience in a comparable panel management, population health, and/or disease management role

Expert knowledge of various external market forces affecting medical centers specific to relationships with hospitals, practitioners, and third party payers

Management experience leading multiple departments and cross functional teams

Demonstrated experience with managed care operations

Strong communication, organizational, interpersonal, customer service and team building skills

Experience with major clinical IT platforms, and fluent with complex electronic medical record platforms and corresponding successful data extraction

Experience developing and implementing clinical, service, and operational process improvement initiatives on both the small and large scale

Extensive experience in leading and bringing to fruition successful provider related relationships across primary care, specialists and regional health systems

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com