Physician (MD/DO) at Humana

Phoenix, Arizona, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Primary CareIndustries

Requirements

Graduate of accredited MD or DO program from an accredited university
Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine
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
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 our Tuberculosis (TB) screening program (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

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

Skills

Key technologies and capabilities for this role

Primary CareOutpatient MedicinePatient EvaluationDisease PreventionHealth MaintenanceMedical RecordsSpecialty ReferralsCare CoordinationValue-Based CareTeam-Based CareSenior Care

Questions & Answers

Common questions about this position

What are the required qualifications for this Physician role?

Candidates must be graduates of an accredited MD or DO program from an accredited university and board certified or eligible to become certified (ABMS or AOA) in Family Medicine or Internal Medicine.

What is the salary or compensation for this position?

This information is not specified in the job description.

Is this a remote position or does it require on-site work?

This information is not specified in the job description.

What is the team structure like for this Primary Care Physician role?

The care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators and more, with the PCP working as a lead in this team-based care environment.

What makes a strong candidate for this Physician position?

Strong candidates will have an accredited MD or DO degree, board certification or eligibility in Family Medicine or Internal Medicine, and the ability to lead in a team-based care environment while focusing 100% on direct patient care.

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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