Primary Care Physician

About the role

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 multiple centers across eight states under two brands: CenterWell & Conviva. 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

• Evaluates and treats center patients in accordance with standards of care.
• Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
• Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
• Acts as an active participant and key source of medical expertise with the care team through daily huddles.
• Helps regional medical director and center administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
• Completes all medical record documentation in a timely manner working with a quality-based coder to optimize coding specificity.
• Follows policy and protocol defined by clinical leadership.
• Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.
• Participates in potential growth opportunities for new or existing services within the Center.
• Participates in the local primary care “on-call” program of CenterWell as needed.
• Assures personal compliance with licensing, certification, and accrediting bodies.
• Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.

Requirements

• Current and unrestricted medical license or willing to obtain a medical license in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required
• Graduate of accredited MD or DO program of accredited university
• Excellent verbal and written communication skills
• Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients
• Fully engaged in the concept of “Integrated team-based care” model
• Willingness and ability to learn/adapt to practice in a value-based care setting
• Superior patient/customer service
• Basic computer skills, including email and EMR

Qualifications

• Board certification or eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred
• Active and unrestricted DEA license
• Medicare Provider Number
• Minimum of two to five years directly applicable experience preferred
• Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment
• Knowledge of Medicare guidelines and coverage
• Knowledge of HEDIS quality indicators

Benefits

• Excellent benefit package – health insurance effective on your first day of employment
• CME Allowance/days
• Occurrence Based Malpractice Insurance
• Relocation and sign-on bonus options
• 401(k) with employer match
• Life Insurance/Disability
• Paid Time Off/Holidays
• Minimal Call

Pay

Total compensation package (base pay + bonus) could exceed $300K depending on experience and location. The pay range is $280,500 - $328,350 per year. This job is eligible for a bonus incentive plan.

Schedule

Scheduled Weekly Hours: 40