VP, Regional CMO – Primary Care

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide executive leadership for Humana’s Primary Care Organization in the role of Regional Chief Medical Officer.

• Oversee regional and area medical directors within a designated region.

• Act as a dyad partner to the Regional Market President.

• Foster a culture of engaged clinicians, patient-centered care, clinical excellence, and team-oriented value-based care.

• Enhance patient outcomes and population impact by focusing on patient experience, disease prevalence, quality/STARS, efficiency, clinical outcomes, and utilization.

• Collaborate with specialists, hospitals, and community partners.

• Engage in clinical practice approximately 10% of the time within the home market.

• Attract, mentor, and cultivate regional clinical leaders.

• Assist with recruiting, onboarding, clinician pipelines, and staffing to address patient needs.

• Strengthen teamwork and collaboration at both regional and center levels.

• Partner with regional dyads and shared service leaders on operations, patient care, outcomes, growth, market expansion, acquisitions, and IPA relationships.

• Direct national clinical focus areas including care model development, clinical operations, quality and clinical excellence, as well as technology enablement and analytics.

• Advocate for patient and team perspectives through research, publications, recruitment channels, and speaking engagements.

• Leverage Humana enterprise capabilities and programs to benefit the Primary Care Organization, patients, and teams.

⛳️ Requirements

• A minimum of seven years of experience as a practicing physician.

• At least five years of strategic clinical leadership experience at a regional or national level.

• Graduate from an accredited MD or DO program at a recognized university.

• Active Board Certification in Family Medicine, Internal Medicine, or Geriatric Medicine, maintained throughout employment.

• Current, unrestricted medical licensure in the applicable state(s).

• Willingness to obtain licensure in additional states as necessary.

• Experience leading multiple clinical teams across various geographies and programs, preferably in medical group and ambulatory care settings.

• Proven experience in implementing clinician-led strategies to enhance outcomes and performance.

• Expertise in value-based care, particularly in Medicare Advantage.

• Familiarity with HEDIS/STARS, medical risk adjustment, and primary care clinical programming.

• Knowledge of team-based care models and their operational aspects.

• Capability to develop clinical leaders and attract high-quality clinical talent.

• Understanding of Medicare Advantage and managed-care health plan frameworks, including quality management, utilization management, network management, capitation, partial risk, and direct contracting.

• Experience in multi-site clinic start-ups.

• Commitment to serving high-risk seniors.

• Strategic problem-solving skills and a track record of driving measurable improvements in patient care and outcomes.

• Ability to work from a dedicated space without interruptions.

• Home internet connection with a minimum of 25 Mbps download speed and 10 Mbps upload speed.

🏝️ Benefits

• Remote work arrangement.

• Occasional travel to Humana offices for training or meetings.

• Self-provided internet service requirements for home or hybrid home/office employees.

• Dedicated workspace to safeguard member PHI / HIPAA information.

• 40 scheduled hours per week.