Market CMO - South Carolina
- 423 Conviva Care Solutions, LLC
- Remote South Carolina
- 8mo ago
- Full-Time
- Remote
· As a Market CMO you will plan, organize, manage and supervise health care services offered in the medical centers. Work in conjunction with the Center Medical Directors to motivate and provide medical direction in pursuit of cost effective, quality healthcare.
· Plan, organize, manage and supervise the roles of the Center Medical Directors.
· Identify physician recruitment needs and collaborate in the hiring and contracting of providers.
· Establish work schedules and assignments for medical staff according to workload, space and equipment and center needs.
· Oversee daily operations of physician services.
· Build strong relationship with specialist, hospitalist, SNF and other providers to form a narrow network of quality service focused on senior population health
· Responsible for medical interpretation, reviews, and decisions as required for plan administration.
· Monitor medical performance and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective utilization practices.
· Oversee the development, revision, and implementation of policies and procedures, systems, programs and standards for health care services.
· Represent the organization in community and marketing events.
· Develop and maintain compliance with the departmental and physician budgets.
· Assess, develop and recommend strategies for compliance with regulatory requirements.
· Develop and maintain an effective relationship with all departments providing medical guidance and expertise.
· Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and cost expectation of.
· Identify trends of over- and under-utilization and implement actions plans to improve.
· Direct and orient physicians in the correct application of approved guidelines. .
· Oversee the operations of the wellness activities and medical department.
· Guide and enforce Perfect Service Standards (Customer Service).
· Other duties as requested
Required Qualifications
Preferred Qualifications
Additional Information
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay 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.
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.
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 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.