Market President, Primary Care Organization - Phoenix Area
Partners in Primary Care

Job Info

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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 Phoenix 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 Phoenix 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 Phoenix 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 requirefull COVID vaccination for this job as we are ahealthcarecompany 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

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C.A.R.E. Values

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Compassion

Compassion

We keep seniors and a holistic view of their health at the center of all we do. We take ownership in helping them achieve their best health through proactive and engaged conversation.

Accountability

Accountability

We keep seniors and a holistic view of their health at the center of all we do. We take ownership in helping them achieve their best health through proactive and engaged conversation.

Respect

Respect

We value seniors and treat them with courtesy and dignity, being aware of the aging process and the challenges it may bring. We celebrate diversity in perspectives and ensure others are heard and appreciated for who they are.

Excellence

Excellence

We exceed expectations of seniors and deliver coordinated, personalized and preventive high-quality patient care. We maintain a curious mindset, learning from data, each other and the world around us

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• Guaranteed base salary and incentive bonus
• 401(k) with employer match

• Health insurance starting day one
• Disability insurance
• Life insurance

• PTO (includes paid holidays and volunteer time off)
• Parental leave
• Tuition reimbursement

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Employee Benefits

CenterWell benefit plans vary by role and location. Generally, our benefits package includes:

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