Associate Medical Director - Centerwell
Edinburg, TX
About the Job
Become a part of our caring community and help us put health first
The Associate Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities interrelate across department(s).
The Associate Medical Director has similar job duties as a Physician, namely focusing on outpatient medicine, continuity of care, health maintenance, and disease prevention. The Associate Medical Director is also responsible for administrative oversight and outcomes for clinical providers designated to their area. Keeps a medical history and medical records. Refers the patient to specialists as needed. Decisions are typically related to identifying and resolving complex technical and operational problems within clinics/centers.
The Associate Medical Director will spend 20-30% of their time clinically focused on direct patient care, with the remaining time dedicated to administrative duties related to oversight of clinical provision of care in their area.
+ Requires a solid understanding of how organization capabilities interrelate across multiple clinics/centers.
+ Supervise/mange assigned clinicians designated to market.
+ Decisions are typically related to identifying and resolving complex technical and operational problems within clinics/centers.
+ Clinician's PTO management in collaboration with Center administrator, including holiday schedules and as determined by the organization.
+ Management of CME time and reimbursement requests.
+ Service recovery reports (Patient complaints).
+ Guidance to individual clinicians about patient terminations, in collaboration with compliance.
+ Manage behavioral concerns pertaining to assigned clinicians.
+ Provide support to on site clinicians with logjams and workflow issues.
+ Oversight of provider quality and development of workflows to help close gaps in quality.
+ Schedule at least one half day at clinic site for onsite visit per week.
+ Support clinicians with schedule templates, coverage, daily issues.
+ Assist with panel management.
+ Oversight of quality of assigned team members.
+ Meet with Regional CAs and other AMD at least monthly.
+ May be assigned to organizational committees as needed, to attend and represent the clinical perspective of the market.
+ Assist in Ongoing Chart Review monitoring.
+ Assist with recruitment and interviewing as requested.
+ In collaboration with RMD, complete performance reviews as required.
+ Participate as backup on call.
+ Assist in organizing team building activities.
+ Maintain regular clinic hours for a percentage of FTE as determined with Regional Medical Director, as detailed on the clinical job description.
+ Serve as a community representative for CenterWell in media and press activities.
Use your skills to make an impact
Required Qualifications
+ Doctor of Medicine or Osteopathic Medicine
+ Board Eligible or Board certified in Geriatric Medicine, Family Medicine or Internal Medicine
+ American Board of Physician Specialties (ABPS) is also recognized by our organization.
+ Valid, unrestricted license in the state of desired employment
+ Experience leading clinical practice operations
+ Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients.
+ Willingness and ability to learn/adapt to practice in a value-based care setting.
+ Basic computer skills, including email and EMR.
+ This role is considered patient facing and is part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Preferred Qualifications
+ Active and unrestricted DEA license
+ Medicare Provider Number
+ Medicaid Provider Number
+ Minimum of three 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.
+ Knowledge of HEDIS quality indicators
Additional Information
+ Guaranteed base salary + bonus.
+ Excellent benefit package - _health insurance effective on your first day of employment_
+ CME Allowance/Time
+ Occurrence Malpractice Insurance
+ Relocation and sign-on bonus options (Only Keep as Needed)
+ 401(k) with Employer Match
+ Life Insurance/Disability
+ Paid Time Off/Holidays
+ Minimal call
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.$241,300 - $332,000 per yearThis 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 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.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
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.
Centerwell, 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 https://www.partnersinprimarycare.com/accessibility-resources
The Associate Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities interrelate across department(s).
The Associate Medical Director has similar job duties as a Physician, namely focusing on outpatient medicine, continuity of care, health maintenance, and disease prevention. The Associate Medical Director is also responsible for administrative oversight and outcomes for clinical providers designated to their area. Keeps a medical history and medical records. Refers the patient to specialists as needed. Decisions are typically related to identifying and resolving complex technical and operational problems within clinics/centers.
The Associate Medical Director will spend 20-30% of their time clinically focused on direct patient care, with the remaining time dedicated to administrative duties related to oversight of clinical provision of care in their area.
+ Requires a solid understanding of how organization capabilities interrelate across multiple clinics/centers.
+ Supervise/mange assigned clinicians designated to market.
+ Decisions are typically related to identifying and resolving complex technical and operational problems within clinics/centers.
+ Clinician's PTO management in collaboration with Center administrator, including holiday schedules and as determined by the organization.
+ Management of CME time and reimbursement requests.
+ Service recovery reports (Patient complaints).
+ Guidance to individual clinicians about patient terminations, in collaboration with compliance.
+ Manage behavioral concerns pertaining to assigned clinicians.
+ Provide support to on site clinicians with logjams and workflow issues.
+ Oversight of provider quality and development of workflows to help close gaps in quality.
+ Schedule at least one half day at clinic site for onsite visit per week.
+ Support clinicians with schedule templates, coverage, daily issues.
+ Assist with panel management.
+ Oversight of quality of assigned team members.
+ Meet with Regional CAs and other AMD at least monthly.
+ May be assigned to organizational committees as needed, to attend and represent the clinical perspective of the market.
+ Assist in Ongoing Chart Review monitoring.
+ Assist with recruitment and interviewing as requested.
+ In collaboration with RMD, complete performance reviews as required.
+ Participate as backup on call.
+ Assist in organizing team building activities.
+ Maintain regular clinic hours for a percentage of FTE as determined with Regional Medical Director, as detailed on the clinical job description.
+ Serve as a community representative for CenterWell in media and press activities.
Use your skills to make an impact
Required Qualifications
+ Doctor of Medicine or Osteopathic Medicine
+ Board Eligible or Board certified in Geriatric Medicine, Family Medicine or Internal Medicine
+ American Board of Physician Specialties (ABPS) is also recognized by our organization.
+ Valid, unrestricted license in the state of desired employment
+ Experience leading clinical practice operations
+ Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients.
+ Willingness and ability to learn/adapt to practice in a value-based care setting.
+ Basic computer skills, including email and EMR.
+ This role is considered patient facing and is part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Preferred Qualifications
+ Active and unrestricted DEA license
+ Medicare Provider Number
+ Medicaid Provider Number
+ Minimum of three 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.
+ Knowledge of HEDIS quality indicators
Additional Information
+ Guaranteed base salary + bonus.
+ Excellent benefit package - _health insurance effective on your first day of employment_
+ CME Allowance/Time
+ Occurrence Malpractice Insurance
+ Relocation and sign-on bonus options (Only Keep as Needed)
+ 401(k) with Employer Match
+ Life Insurance/Disability
+ Paid Time Off/Holidays
+ Minimal call
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.$241,300 - $332,000 per yearThis 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 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.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
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.
Centerwell, 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 https://www.partnersinprimarycare.com/accessibility-resources
Source : Centerwell