Job Details
Vice President Quality amp Clinical Excellence
LocationLouisville, KY, United StatesPosted onMay 03, 2022Apply for this jobyour email:
upload resume:
ProfileDescription
Responsibilities
Job Description:
VP, Quality & Clinical Excellence
Job Profile Name
Vice President, Quality & Clinical Excellence (Physicians)
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 200 centers across ten states under two brands: CenterWell & Conviva. Operating as payor-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.
Job Profile Summary
The VP, Quality & Clinical Excellence will be the national clinical leader for clinical standards, pathways, education, and clinical feedback loops that drive evidence-based practice & clinical excellence in primary care of seniors to tangibly impact clinical outcomes, in areas such as preventive care, chronic disease management, and other domains of health.
Job Description
The VP, Quality & Clinical Excellence will lead the development of national clinical pathways, including prioritization of conditions and issues for clinical pathway development, pathway development process and structure, clinical education, and developing clinical subject matter expert pool of internal & external clinical experts, to drive high-impact, evidence-based primary care for seniors
Oversees clinician education program development nationally, supporting a national medical director of clinical education and the reporting clinician educator teamOversees specialty care program development & clinical excellence, supporting a national medical director of specialty care and as needed, service-line specialty care leaders for the PCOOversees national clinical approach to integrating HEDIS & HCC-related opportunities into clinical pathways, education, and feedback loops to improve clinical effectivenessDrives development of clinical outcome metrics and feedback loops to PCPs and regional clinical leaders, through data insights, clinical chart audits, and other mechanisms, to enhance continuous improvement in how we care for patientsPartners with CMO and regional clinical leaders to define priorities, build the programs below, source & coach clinical leadership talent in reporting leaders, and execute on priorities to improve standard and consistency of clinical practice by PCO primary care clinicians and tangible improve clinical outcomesDyad clinical partner for HEDIS/STARS, Coding, Learning & Development and Expansion leaders nationallyNational leader of Quality & Clinical Excellence committee
Initial direct reports for this role
National Director, Quality & MRANational Director, Clinical EducationNational Director, Specialty CareDirector, Clinical Excellence
The VP, Quality & Clinical Excellence will report to the Primary Care Organization's Chief Medical Officer.
Location : Based in one of the PCO markets and Hybrid home or Hybrid Office workstyle
Clinical Practice : 5-10% of time
Qualifications : Highly credible primary care clinical leader, educator, and program builder, with national or regional proven impact driving standards development, education, and clinical improvement loops in large care delivery organizations. Experience tangibly influencing clinical outcomes (improving preventive & chronic disease care, decreasing avoidable utilization (e.g. ER and hospital visits), and enhancing competencies/clinical skillsets of practicing clinicians). Astute clinician with mastery of advanced, evidence-based primary care practice and clinical standards for the highest level of clinical management of senior health issues.
Scheduled Weekly Hours
40DescriptionThe Technology Chief Financial Officer, ('Tech CFO ') is responsible for financial leadership of Humana's global Tech operations, including strategy and execution from new project prioritization and planning to ongoi...DescriptionProvides executive leadership to Humana.ResponsibilitiesVice President, Threat Management & ResponseJob Description:Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help people a...DescriptionResponsibilitiesThe Associate Vice President (AVP), IT Procurement - Enterprise Procurement & Supplier Management reports to the Chief Procurement Officer, the Associate Vice President - IT Procurement is accountabl...
#J-18808-Ljbffr