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National Medical Director, Clinical Excellence & Safety

$270.8k - $378.8k

Humana

Become a part of our caring community

The National Medical Director of Clinical Excellence & Safety is a pivotal leadership position within CenterWell Senior Primary Care. This role is responsible for guiding patient safety initiatives, ensuring clinical quality, and fostering a culture of high reliability throughout our value-based care organization. The Medical Director provides strategic leadership in the development and implementation of evidence-based clinical standards, offers expert guidance to address complex clinical situations, and directs the execution of patient safety policies and programs. Additionally, the role supports provider education by collaborating with the training team to ensure alignment and consistency in messaging, equips clinical leaders with standardized communications, and partners with multidisciplinary teams to drive continuous improvement in care delivery across our primary care network.

Clinical Excellence Leadership
  • Oversee the development, implementation, and continuous improvement of clinical programs, including referral standards, clinical pathway adoption, and population health management.
  • Act as a clinical advisor in dyad partnership with operators of the Rapid Response Team and Transformation Office, offering real-time clinical expertise and consultative support for operational and care delivery decisions within priority initiatives.
  • Establish clinical protocols, quality benchmarks, and performance metrics to define and evaluate the effectiveness of Primary Care providers across the network.
  • Serve as the clinical authority for resolving complex clinical issues and deviations from established protocols.
  • Supports provider education by coordinating with the training team to ensure consistent messaging and partners with multidisciplinary teams to drive continuous improvement in care delivery across our primary care network.
Patient Safety
  • Provide oversight for patient safety activities, including policy management, committee participation, and ongoing program evaluation.
  • Lead and facilitate analysis of safety events and collaborate on initiatives to identify and address potential risks.
  • Monitor evolving treatment guidelines and evidence-based best practices to inform care standards and enhance the quality and consistency of provider-delivered care.
  • Foster relationships with external safety organizations (e.g., ISMP, AHRQ) and guide the implementation of patient safety programs and culture initiatives.
Collaboration, Analytics, and Stakeholder Engagement
  • Participate actively in Clinical Excellence Committee and other relevant regional/national committees.
  • Collaborate with Regional Chief Medical Officers, Professional Practice Evaluation Committee, and other clinical leaders to promote best practices and advance organizational priorities.
  • Represent clinical authority in Rapid Response Team (RRT) and Transitional Medical Operations (TMO) forums.
  • Partner with multidisciplinary teams and leverage analytics to evaluate program impact and drive continuous improvement.
Use your skills to make an impact

Qualifications:

  • MD or DO degree with board certification in a relevant specialty.
  • Minimum of 5 years of clinical experience, including experience in a leadership role within a provider organization.
  • Proven track record of developing and implementing evidence-based clinical guidelines and patient safety programs.
  • Strong understanding of population health management and team-based care.
  • Excellent communication, collaboration, and leadership skills.

Preferred Qualifications:

  • Experience with value-based, senior-focused care or geriatric populations.
  • Knowledge of health informatics and their application in clinical settings.
  • Experience in a national or multi-site healthcare organization.

Work at Home Requirements

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.$270,800 - $378,800 per yearThis 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 07-16-2026

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 at CenterWell.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.

Vacancy posted 1 day ago
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