Hedis Associate Jobs in Georgia (NOW HIRING)

Become a part of our caring community
Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 350 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness.
At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

The Primary Care Physician (PCP)works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of Doctors,Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, BehavioralHealth, Specialists, Quality Based Coders, Referral Coordinators and more. Our approach allows us to provide anunmatched experience for seniors. Our modelis positionedto provide higher quality careand better outcomes for seniors by providinga concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do.

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 anactive participant and key source of medical expertise with the care team through daily huddles.

Helps RegionalMedical Director and Center Administrator in setting a tone of cooperationin practice by displaying a professional and approachable demeanor.

Completes allmedical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.

Follows policy and protocol defined byClinical 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.

Use your skills to make an impact

Required Qualifications:

Current and unrestricted medical licenseorwilling to obtain a medical licenses instate 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

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 roleis consideredpatient facing and is a part ofour Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB

Preferred Qualifications:

Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred

Active and unrestricted DEA license

Medicare Provider Number

Medicaid Provider Number

Minimum of two to five years directly applicable experiencepreferred

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

Additional Information:

Total compensation package (base pay + bonus) could exceed $300K depending on experience and location

Excellent benefit package -health insurance effective on your first day of employment

CME Allowance/Time

Occurrence Based Malpractice Insurance

Relocation and sign-on bonus options

401(k) with Employer Match

Life Insurance/Disability

Paid Time Off/Holidays

Minimal Call

#physiciancareers #LI-DH1

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.

$255,000 - $298,500 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 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 atCenterWell.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.