National Medical Director, Clinical Excellence, Safety

Job not on LinkedIn

🔥 23 hours ago

🇺🇸 United States – Remote

💵 $270.8k - $378.8k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Oversee the development, implementation, and continuous improvement of clinical programs, including referral standards, clinical pathway adoption, and population health management. • Act as a clinical advisor in dyad partnership with operators of the Rapid Response Team and Transformation Office, offering real-time clinical expertise and consultative support for operational and care delivery decisions within priority initiatives. • Establish clinical protocols, quality benchmarks, and performance metrics to define and evaluate the effectiveness of Primary Care providers across the network. • Provide oversight for patient safety activities, including policy management, committee participation, and ongoing program evaluation. • Lead and facilitate analysis of safety events and collaborate on initiatives to identify and address potential risks.

🎯 Requirements

• MD or DO degree with board certification in a relevant specialty. • Minimum of 5 years of clinical experience, including experience in a leadership role within a provider organization. • Proven track record of developing and implementing evidence-based clinical guidelines and patient safety programs. • Strong understanding of population health management and team-based care. • Excellent communication, collaboration, and leadership skills.

🏖️ Benefits

• medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, paid parental and caregiver leave) • short-term and long-term disability • life insurance