Humana

Associate Medical Director - Partners In Primary Care - Atlanta, Georgia

Posted on: 5 Mar 2021

Atlanta, GA

Job Description

Description

The Associate Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities interrelate across multiple clinics/centers. The Area Medical Director has similar job duties as a Physician, namely focusing on outpatient medicine, continuity of care, health maintenance, and disease prevention. The Associate Medical Director is also responsible for administrative oversight and outcomes for 8-12 clinical providers designated to their area. Keeps a medical history and medical records. Refers the patient to specialists as needed. Decisions are typically related to identifying and resolving complex technical and operational problems within clinics/centers. The Associate Medical Director will spend 50% of their time clinically focused on direct patient care, with the remaining time dedicated to administrative duties related to oversight of clinical provision of care in their area.

Responsibilities

The Associate Medical Director focuses on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists as needed. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates.

Required Qualifications

* Current and unrestricted medical license or willing to obtain a medical licenses 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

* Board Certification or Eligibility preferably in Family Medicine, Internal Medicine or Geriatric Medicine with continued certification throughout employment

* Experience leading clinical practice operations

* 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

* This role is considered patient facing and is a part of Partners Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB

Preferred Qualifications

* Active and unrestricted DEA license

* Medicare Provider Number

* Medicaid 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.

We are excited to share that we are in the process of changing our name to CenterWell Senior Primary Care. We expect our name transition to be complete by the first part of April 2021. We feel our new name will better reflect our commitment to deliver senior-focused primary care and reinforces our commitment to putting patients at the center of what we do every single day. The new name truly captures how we support senior health and wellness from every angle physical, emotional and social. Join a team committed to making seniors healthier and happier every day by putting them at the center of everything we do.

Scheduled Weekly Hours

40

Humana

Louisville, KY

Humana Inc., together with its subsidiaries, operates as a health and well-being company in the United States. The company offers medical and supplemental benefit plans to individuals. It also has contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term support services benefits.

In addition, the company provides commercial fully-insured medical and specialty health insurance benefits comprising dental, vision, and other supplemental health and voluntary insurance benefits; financial protection products; and administrative services only products to individuals and employer groups, as well as military services, such as TRICARE South Region contract.

Further, it offers pharmacy solutions, provider services, predictive modeling and informatics services, and clinical care services, such as home health and other services to its health plan members, as well as to third parties. As of December 31, 2018, the company had approximately 17 million members in medical benefit plans, as well as approximately 6 million members in specialty products. Humana Inc. was founded in 1961 and is headquartered in Louisville, Kentucky.

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