Become a part of our caring community and help us put health first
 

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.

Primary Care Organization is seeking a Market President to manage the Daytona 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 Daytona area.  This role will also work cross-functionally with corporate leaders across the organization.

Must reside in or be willing to relocate to the Daytona, FL area.

Responsibilities

• Financial performance (P&L) of the market in Daytona 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 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

Use your skills to make an impact
 

Required Qualifications

• Bachelor’s Degree
• 10+ years of progressive leadership experience in large, complex, and integrated healthcare or payer setting
• 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
• Value based care experience
• 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
• 5 years of leadership experience in medical center operations
• 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

Scheduled Weekly Hours

40

Pay 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.

$199,400 – $298,300 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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.

About Us
 

About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients’ well-being.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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.