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 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.

Responsibilities

•  Evaluates and treats center patients in accordance with standards of care.
•  Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
•  Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
•  Acts as an active participant and key source of medical expertise with the care team through daily huddles.
•  Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
•  Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.
•  Follows policy and protocol defined by Clinical Leadership.

Required Qualifications:

•  Current and unrestricted medical license or willing to obtain a medical licenses in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required
•  Graduate of accredited MD or DO program of accredited university
•  Excellent verbal and written communication skills
•  Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients
•  Fully engaged in the concept of “Integrated team based care” model
•  Willingness and ability to learn/adapt to practice in a value based care setting
•  Superior patient/customer service
•  Basic computer skills, including email and EMR
•  This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB

Preferred Qualifications:

•  Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred
•  Active and unrestricted DEA license
•  Medicare Provider Number
•  Medicaid Provider Number
•  Minimum of two to five years directly applicable experience preferred
•  Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment
•  Knowledge of Medicare guidelines and coverage
•  Bilingual is a plus
•  Knowledge of HEDIS quality indicators

Additional Information:

•  Guaranteed base salary + quarterly bonus
•  Excellent benefit package – health insurance effective on your first day of employment
•  CME Allowance/Time
•  Occurrence Based Malpractice Insurance
•  Relocation and sign-on bonus options
•  401(k) with Employer Match
•  Life Insurance/Disability
•  Paid Time Off/Holidays
•  Minimal Call