Job Details

ID #4946343
State Tennessee
City Brentwood
Full-time
Salary USD TBD TBD
Source Humana
Showed 2020-10-02
Date 2020-09-08
Deadline 2020-11-07
Category Et cetera
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Market Medical Officer, Commercial

Tennessee, Brentwood 00000 Brentwood USA

Vacancy expired!

Description The Market Medical Officer, Commercial will provide insight and thought leadership to develop and maintain relationships across the healthcare ecosystem with a focus on the Employer Group Segment.

This role will support business line clinical management goals as well as provide visibility and growth of the Humana brand across commercial / business clients, provider communities, nonprofit and government sectors.

Responsibilities Role : Market Medical Officer, Commercial Location : Work at Home in TN Travel : 50% Responsibilities Works to ensure our Humana Clinical Value Proposition is well represented throughout the business and in all venues Develops and maintains relationships among various healthcare stakeholders to enhance the Humana business model Works across multiple areas within the organization to provide medical interpretation and advise leadership on clinical strategies Engages our key client groups on clinical performance, facilitates discussion of clinical reporting and action planning Serves as key clinical support for specific employer groups and the book of business as a whole as appropriate Plays a key role in finalist presentations for the segment Analyzes segment and market level trends, and brings innovative and engaging initiatives to our clients in the markets to drive trend mitigation strategies Provides clinical reviews for medical underwriting analyses Drives integrated multidisciplinary engagement to address improving cost and quality of care Serves as contact for critical partner relationships with organized medicine, industry partners and state and local health care leaders.

Acts as key influence and thought leader in local market communities Required Qualifications A current and unrestricted license in at least one jurisdiction and willing to obtain license, as required, for various state in assigned geography MD or DO degree Board Certified in an approved ABMS Medical Specialty Minimum 5 years of medical management experience within health insurance organizations including external facing responsibilities.

Excellent communication skills Strong presentation skills Knowledge of managed care industry, specifically Commercial products Possess analytic and interpretation skills with prior experience leading to externally focused programs to improve and / or address quality, cost and social determinants of health.

Preferred Qualifications MBA, MPH and / or MMM degree Experience within Humana Experience in population health or public health sector with a desire to transform current system #physiciancareers Scheduled Weekly Hours 40

Vacancy expired!

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