Market Medical Officer, Tennessee

Tennessee

full-time
Non clinical

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. Ideally candidate should live in Nashville, TN, but will look at other Tennessee locations.

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
  • Analyzes segment and market level trends, and brings innovative and engaging initiatives to our clients in the markets to drive trend mitigation strategies

               

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.


Posted April 20, 2021