Chief Clinical Excellence Officer National Location:
Louisville, KY, United States
Posted on:
May 10, 2022
Profile
Description
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. Our clinics offer a team-based care model, where our physicians lead a multi-disciplinary care team supporting patients' physical, emotional, and social wellness.
Job Profile Summary
The Chief Clinical Excellence Officer 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.
Lead the development of national clinical pathways, including prioritization of conditions and issues for clinical pathway development.
Oversee clinician education program development nationally, supporting a national medical director of clinical education.
Oversee specialty care program development & clinical excellence.
Oversee national clinical approach to integrating HEDIS & HCC-related opportunities into clinical pathways, education, and feedback loops.
Drive development of clinical outcome metrics and feedback loops to PCPs and regional clinical leaders.
Partner with CMO and regional clinical leaders to define priorities and improve standard and consistency of clinical practice.
Serve as dyad clinical partner for HEDIS/STARS, Coding, Learning & Development and Expansion leaders nationally.
Lead the Quality & Clinical Excellence committee.
Initial direct reports for this role
National Director, Quality & MRA
National Director, Clinical Education
National Director, Specialty Care
Director, Clinical Excellence
The Chief Clinical Excellence Officer will report to the Primary Care Organization's Chief Medical Officer.
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, 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:
40
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