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VP, Regional CMO, Primary Care

Role overview

Qualifications

  • Seven plus years of experience as a practicing physician
  • Five plus years of strategic clinical leadership experience at a regional or national level
  • Graduate of accredited MD or DO program of accredited university
  • Active Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine

Responsibilities

  • Drive patient outcomes and population impact across regions for optimal results
  • Build a best-in-class culture of engaged clinicians focused on patient-oriented care
  • Attract, coach, and develop regional clinical leaders in the principles of value-based care
  • Partner cohesively with Regional Market President to drive clinical excellence and performance outcomes

Key facts

Other skills

  • Team Leadership
  • Strategic Thinking
  • Communication
  • Collaboration
  • Coaching

About the company

Humana logo

Humana

Health Insurance (Payers)

At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

Become a part of our caring community
 

Provides executive leadership to Humana.

               

The Regional Chief Medical Officer (CMO) is an entrepreneurial & experienced physician leader committed to the principles of comprehensive primary care and unlocking the power of value-based care for patients at national scale.  S/he will be a proven clinician, leader, and strategist capable of driving the highest standards of care, building high-performance care teams, developing clinical leadership talent, and quantifiably improving outcomes and performance across multiple geographies. 

The Regional CMO will directly lead a team of regional & area medical directors and serve as dyad partner to the Regional Market President for one of the Primary Care Organization’s regions across the nation where CenterWell and/or Conviva serve patients.  The Regional CMO will report to the Chief Medical Officer of the Primary Care Organization.  This role requires periodic travel to markets (40% or less) to meet with national and regional teams and should be based in one of our current or upcoming CenterWell or Conviva markets.

Responsibilities

Drive Clinical Excellence in Culture & Performance

·       Build a best-in-class culture of engaged clinicians, focused on patient-focused care and clinical excellence, where doing the right thing for patients and team-based care within a value-based care framework, drives success and pride

·       Drive patient outcomes and population impact across regions for optimal results, across patient care experience & engagement, disease prevalence, quality/STARS, efficiency of care, and improved clinical outcomes and utilization. 

·       Identify and act on opportunities to better manage & coordinate with high-quality specialist, hospital, and community partners to serve patient needs and deepen our impact

·       Practice ~10% clinically within your home market, to maintain clinical skills and familiarity with our seniors’ needs and the daily environment of our clinicians

Build & Sustain High-Quality Primary Care Teams & Leadership

·       Attract, coach, and develop regional clinical leaders in the principles and activities of value-based care, team leadership, and driving clinical excellence & performance

·       Ensure appropriate, timely recruiting and onboarding of high-quality primary care clinicians to serve our seniors, supporting regional leaders and functional leaders in developing high-quality pipelines and ensuring 100% staffing for patient needs

·       Continuously improve teamwork and collaboration at the regional and center levels to shift the needle in population outcomes

Effectively Partner as Dyad Clinical Leader

·       Partner cohesively with Regional Market President as a leadership dyad for the region across all dimensions of success, building an effective and collaborative working relationship where patient-first culture and clinically-led decision-making drives growth, clinical excellence, performance & outcomes

·       Work with Regional Market President, regional dyads, and shared service leaders, to drive continuous improvement in operations, patient care, and outcomes

·       Collaborate with Regional Market President, regional dyads, and shared service leaders to support organic and inorganic patient growth, through strategies to improve our patient value proposition and experience of care, market expansion, acquisitions, and IPA relationships to ensure clinical integration and effectiveness

National Leadership & Innovation

·       In partnership with the Chief Medical Officer and Primary Care Organization leadership, lead the organization’s national clinical focus in one or more key areas, as assigned, such as care model development, clinical operations, quality & clinical excellence, and technology enablement & analytics to advance our clinical team, care model, and patient care operations

·       Channel the voices of our patients and teams to build awareness of the Primary Care Organization regionally and nationally, through research/publications around our care model and population impact, strengthening our presence with best-in-class clinical talent recruiting channels such as top-tier training programs and schools, and speaking opportunities

·       Effectively identify and act on opportunities to bring Humana’s enterprise capabilities and programs to bear to support the Primary Care Organization, our patients, and our teams in delivering world-class care and outcomes


Use your skills to make an impact
 

Preferred Qualifications

·       A passion for serving high-risk seniors in achieving their best health and outcomes and the clinical experience to bring deep knowledge of patient needs & the communities we serve

·       A track record clinical leadership of multiple clinical teams across geographies and programs, preferably in a medical group and ambulatory care environments

·       Experience identifying & implementing clinician-led strategies to improve outcomes & performance

·       Expertise in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment, and clinical programming in primary care, complex care, or adjacent areas

·       Deep knowledge of principles & operations of team-based care models

·       Proven convener of high-quality clinical talent and ability to develop next-generation clinical leaders

·       The attitude and experience to strengthen a patient-centered culture that is clinically-led

·       Strategic problem-solver with examples of driving change initiatives with measurable impact on patient care and outcomes

·       Understanding of health plan frameworks in Medicare Advantage and managed care that affect patient care and population management, such as quality management, utilization management, network management, and payment frameworks (e.g. capitation, partial risk, direct contracting)

·       Multi-site clinic start-up experience
 

Minimum Qualifications

·       Seven plus years of experience as a practicing physician, and five plus years of strategic clinical leadership experience at a regional or national level

·       Graduate of accredited MD or DO program of accredited university

·       Active Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine with continued certification throughout employment

·       Current, unrestricted medical licensure in applicable state(s) and willingness to be licensed in additional states, as required by the organization

Healthcare is not just about health anymore. It is about caring for family, friends, finances, and personal life goals. It is about living life fully. At Humana’s Primary Care Organization (PCO) we want to help people everywhere, including our associates, live their best life.  At Humana’s PCO, we are seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.  

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

 

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

 

Scheduled Weekly Hours

40

Application Deadline: 09-20-2026


About us
 

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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Marcus Rivera

Chief Revenue Officer

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