Market President, AVP job vacancy in Humana, (Houston, TX 77016)

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Job Details
Company Name : Humana
Company Location : Houston, TX 77016
Job Position : Market President, AVP
Job Category : Jobs in Texas

Job Description :
LOCATION: Successful candidate will be currently located in Houston TX, or open to relocation.

Location: Houston

Reporting structure: Reports into Cheri Greenfield-LaTour, SVP Division President – Care Delivery

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 Houston 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 Houston 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 Houston 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
We will require full COVID vaccination for this job as we are a healthcare company 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
Business development experience developing strategic growth initiatives

Associates are required to be fully COVID vaccinated, including booster, or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home.
If progressed to offer, candidates will be required to:

Provide proof of full vaccination, including booster OR
Provide proof of applicable exemption including any required supporting documentation

Medical, religious, and state exemptions will be available.

Scheduled Weekly Hours
40

Not Specified
0