Become a part of our caring community and help us put health first
The Associate Operations Director (AOD) leads Senior Focused Primary Care clinical operations in a multi-physician office or clinical group typically overseeing 5-10 centers within a market. They ensure the smooth operation and performance of centers within their assigned accountability, handling a range of administrative, operational, growth, and leadership tasks. This role requires a strategic mindset, financial acumen, relationship building proficiencies, strong organizational skills, communication competencies, and a passion for patient care. The AOD develops and implements staffing plans, oversees change, ensures adherence to policies, and procedures, and collaborates with their clinical dyad partner to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/STARs, AHCA, optimal patient scheduling, financial management, patient engagement, recruiting/hiring, and employee and patient retention. Responsibilities include resolving complex technical and operational issues and overseeing multiple managers/supervisors or specialized professionals. Specific duties may vary by market or center, as determined by local leadership.
KEY RESPONSIBILITIES
• Leadership & Operational/Organizational Management:
• Proven experience in clinical operations and financial management, including P&L responsibilities.
• Proficiency in monitoring and analyzing key performance indicators (KPIs) such as Membership, Retention, Patient Engagement, Access, Scheduling, Referral turnaround time, phone abandonment rates, PCP/voluntary alignment change forms, and more.
• Monitor and manage data analytics, scorecards, cost & utilizations, HCC coding, and NPS Scores, focusing on patient satisfaction and performance improvement.
• Supervision and management of operational staff and guiding them on performance expectations, managing daily schedules, and supporting organizational change management.
• Engage in recruitment, development of internal leaders, and fostering continuous learning and improvement.
• Ensure team of healthcare professionals are trained in the principles and practices of Value Based Care (VBC).
• Responsible for contributing to leadership and financial discussions during monthly meetings with Market CAs and Regional AMD, utilizing exceptional presentation and facilitation skills to simplify complex information and engage audiences.
• Demonstrates strong financial acumen and managing Profit & Loss (P&L) to connect strategy with business results
• Collaborates with Community Engagement Professionals and Providers to develop and execute growth tactics within the center and community. Prioritizes centers for targeted growth investments.
• Evaluates performance of all operational staff directly reporting.
• Ensures accuracy of all supply ordering, invoices, and expense submissions as well as management of VSP resources.
• Ensure all standard operating procedures are adhered to within the center and all compliance required signage is visible in patient-facing areas and back-office to include breakrooms.
• Ensure growth targets and financial levers are understood and being met
• Understand and support center incident reporting and maintenance/facility needs
• Represent CenterWell/Conviva brands in community and media activities while collaborating with the recruitment team to build and network a pipeline of high-quality primary care clinicians (physicians, APPs, MAs, and other clinical professionals)
Clinical/Patient Experience:
• Experienced in managing outpatient care teams to maintain high patient satisfaction and strong brand in the community.
• Ensures centers are focused on obtaining and managing Google reviews.
• Ensure high levels of patient satisfaction by addressing clinician performance issues and fostering a patient-centric environment and culture of care.
• Focus on patient outcomes and integrate VBC principles into daily operations.
• Collaborate with providers on patient terminations in collaboration with compliance.
• Conduct monthly safety audits, manage MSDS and OSHA concerns, and address clinic operation opportunities.
• Ensures Center Administrators are addressing patient service recovering as needed and any clinician concerns are discussed with AMD to define any action.
• Collaborate with providers on patient terminations in compliance with regulations
• Maintains awareness of the competitive health care environment and escalates any issues.
• Ensures centers are completing monthly audits of payor directories to ensure providers within the center are accurately represented. Escalate necessary changes to Market President.
Dyad Partnership:
• Collaborate with the Associate Medical Director to achieve shared goals, ensuring consistent communication and unified decision-making.
• Align on performance management, clinical and operational strategies, growth (sales and retention) tactics, and present a unified voice to respective teams.
• Partner on operational budgeting and strategic planning, determining services, providers, and expected outcomes collaboratively.
• Focus on utilization management and review provider schedules to meet patient access goals, with biannual reviews of incentive plans.
• Monitor and communicate incentive and performance plans effectively.
• Collaborate to manage performance/disciplinary issues, either within the clinical or operational team.
• Ensure patient access across all centers overseeing balancing new patient access and acute needs for existing patients.
Use your skills to make an impact
Additional Information
Required Qualifications
• 5+ years of healthcare management experience in clinical care or related field, with experience driving results in a full-risk VBC environment.
• Bachelor's degree or equivalent experience preferred. Degree preferably in Business administration Healthcare Administration, or a related field
• Strong understanding of healthcare regulations, compliance, and managed care.
• Skilled in EMR systems, DataHub, NPS, and other relevant software tools.
• Current CPR certification
• Must be able to work at the CenterWell Care clinic
• Associates working in the State of Florida will need ACHA Level II Background clearance.
• Must have a valid driver's license as there will be travel between centers.
• Demonstrated interpersonal skills, enabling effective interaction both internally and externally with a diverse range of individuals, including physicians, office staff, hospital executives, medical groups, IPAs, community organizations, and other health plan staff.
• Candidates selected for this job will be required to adhere to Humana's flu vaccine policy.
• Solid understanding of medical care delivery, managed care financial arrangements and reimbursement
• Proven ability to function effectively in matrix management environment and as a member of an interdisciplinary team
• Experience managing a budget of $1M+
• This role is considered patient facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
Preferred Qualifications
• Basic knowledge of Population Health and how it comes to life in a global risk primary care environment
• Familiarity with Medicare and Risk model
• Bilingual in both English and Spanish
Local travel is required; Mileage will be reimbursed
** PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF or Word format) **
Alert
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Interview Format - HireVue
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Language Proficiency Testing:
Bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance. See Additional Information on testing. Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
Benefits
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
Blue Cross and Blue Shield Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
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Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$100,000 - $141,300 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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 creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
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.
