VP, Market President, Centerwell- Orlando, FL

Full Time
Orlando, FL 32825
Posted
Job description

LOCATION: Successful candidate will be currently located in Orlando, FL , or open to relocation.

Location: Orlando, FL

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 225 centers across 11 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 Orlando 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 Orlando 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 Orlando 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 may 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
  • Clinical outcomes
  • Financial performance
  • Operational performance outcomes
  • Membership growth and retention

Required 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

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
  • Business development experience developing strategic growth initiatives

Additional Information:

  • Vaccine Policy

    Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters.

    Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Scheduled Weekly Hours

40

Not Specified
0

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