Job Information
CenterWell VP, Centerwell PCO, IPA CMO in Boston, Massachusetts
Become a part of our caring community and help us put health first
The Primary Care Organization (PCO), is looking for high potential candidates who are looking to accelerate their career development and contribute to driving disruption in the health care industry. The PCO provides primary care medical group practice with centers in Florida, Arizona, Georgia, Kansas, Louisiana, Missouri, Nevada, Missouri, North Carolina, South Carolina, Texas, Mississippi, Indiana, Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience.
At PCO we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.
PCO-IPA
Our Independent Practice Association business consists of 182 affiliate organizations, 13,000 providers taking care of 75,000 patients across 4 states and growing every day! We are opening in 3 additional markets this year. The IPA was recently centralized into its own business unit, and we are very excited to invest in and grow this business so that it can be the growth engine for the Centwell and Conviva business going forward. This is an incredibly exciting opportunity to help shape the future of this business at a critical stage in our growth!
The IPA Chief Medical Officer (CMO) is an entrepreneurial & experienced physician leader committed to the principles of comprehensive primary care and unlocking the power of value-based care for patients at national scale. S/he will be a proven clinician, leader, and strategist capable of driving the highest standards of care, building high-performance care teams, developing clinical leadership talent, and quantifiably improving outcomes and performance across multiple geographies.
The IPA CMO will develop and support the MSO’s National Clinical Vision and Strategy, directly lead a team of regional & area medical directors and serve as dyad partner to National Operations Leader across the nation where CenterWell and/or Conviva serve patients. The IPA CMO will report to the SVP, Chief MSO & Medical Business Leader for the Primary Care Organization. This role will also have. Dotted line to the SVP, CMO PCO to be tighly connected to the rest of the clinical organization. This role requires travel to markets (up to 50%) to meet with national and regional teams and should be based in one of our current or upcoming CenterWell or Conviva markets.
Use your skills to make an impact
Responsibilities
Drive Clinical Excellence in Culture & Performance
Build a best-in-class culture of engaged clinicians, focused on patient-focused care and clinical excellence, where doing the right thing for patients and team-based care within a value-based care framework, drives success and pride
Drive patient outcomes and population impact across regions for optimal results, across patient care experience & engagement, disease prevalence, quality/STARS, efficiency of care, and improved clinical outcomes and utilization.
Identify and act on opportunities to better manage & coordinate with high-quality specialist, hospital, and community partners to serve patient needs and deepen our impact
Practice 10% clinically within your home market, to maintain clinical skills and familiarity with our seniors’ needs and the daily environment of our clinicians
Build & Sustain High-Quality Primary Care Teams & Leadership
Attract, coach, and develop regional clinical leaders in the principles and activities of value-based care, team leadership, and driving clinical excellence & performance
Ensure appropriate, timely recruiting and onboarding of high-quality primary care clinicians to serve our seniors, supporting regional leaders and functional leaders in developing high-quality pipelines and ensuring 100% staffing for patient needs
Continuously improve teamwork and collaboration at the regional and center levels to shift the needle in population outcomes.
Launch and lead a Clinical Advisory workgroup that include a physician from each of the regions.
Effectively Partner as Dyad Clinical Leader
Partner cohesively with National Operations Leader as a leadership dyad for the region across all dimensions of success, building an effective and collaborative working relationship where patient-first culture and clinically-led decision-making drives growth, clinical excellence, performance & outcomes
Work with National Operations Leader, Regional Market presidents, regional dyads, and shared service leaders to design new programs, optimize initiatives, drive continuous improvement in operations, patient care, and outcomes
Collaborate with National Operations Leader, Regional Market Presidents regional dyads, and shared service leaders to support organic and inorganic patient growth, through strategies to improve our patient value proposition and experience of care, market expansion, acquisitions, and IPA relationships to ensure clinical integration and effectiveness
National Leadership & Innovation
In partnership with the Chief Management Services Officer, Chief Medical Officer and Primary Care Organization leadership, lead the organization’s national clinical focus in one or more key areas, as assigned, such as care model development, clinical operations, quality & clinical excellence, and technology enablement & analytics to advance our clinical team, care model, and patient care operations
Channel the voices of our patients and teams to build awareness of the Primary Care Organization regionally and nationally, through research/publications around our care model and population impact, strengthening our presence with best-in-class clinical talent recruiting channels such as top-tier training programs and schools, and speaking opportunities
Effectively identify and act on opportunities to bring Humana’s enterprise capabilities and programs to bear to support the Primary Care Organization, our patients, and our teams in delivering world-class care and outcomes
Required Qualifications
Expertise in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment, and clinical programming in primary care, complex care, or adjacent areas
Deep knowledge of principles & operations of team-based care models
Proven convener of high-quality clinical talent and ability to develop next-generation clinical leaders
Experience identifying & implementing clinician-led strategies to improve outcomes & performance
Exceptional interpersonal and influencing skills. The attitude and experience to strengthen a patient-centered culture that is clinically led
Strategic problem-solver with examples of driving change initiatives with measurable impact on patient care and outcomes
Understanding of health plan frameworks in Medicare Advantage and managed care that affect patient care and population management, such as quality management, utilization management, network management, and payment frameworks (e.g. capitation, partial risk, direct contracting)
Population health minded physician with an understanding of, and supportive of independent physician practices.
A passion for serving high-risk seniors in achieving their best health and outcomes and the clinical experience to bring deep knowledge of patient needs & the communities we serve
Seven plus years of experience as a practicing physician, and five plus years of strategic clinical leadership experience at a regional or national level
Graduate of accredited MD or DO program of accredited university
Active Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine with continued certification throughout employment
Current, unrestricted medical licensure in applicable state(s) and willingness to be licensed in additional states, as required by the organization
Required to live within commuting distance to PCO Center to allow for practicing as a provider 10% of the time.
Preferred Qualifications
Experience leading in an IPA/MSO model
Multi-site clinic start-up experience
Expectations:
- Flexibility to travel as needed (up to 50% travel)
Healthcare is not just about health anymore. It is about caring for family, friends, finances, and personal life goals. It is about living life fully. At Humana’s Primary Care Organization (PCO) we want to help people everywhere, including our associates, live their best life. At Humana’s PCO, we are seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Application Deadline: 04-29-2025
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 veteran status. 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