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Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.



Role: Medical Director - WI & MI
Assignment: Commercial Business Segment
Location: Milwaukee, WI

Are you a fit?
Are you a clinical and business leader?

Assignment Capsule
This position offers an exciting opportunity for an experienced or aspiring physician executive to provide clinical leadership in Humana's Commercial business markets. This unique role includes the ability to influence three key disciplines: Sales, Trend/Clinical Strategy, and Provider Relations with the intents to improve the health of Humana members and support commercial business growth.

Sales
Partner with account managers to:
Communicate Humana's clinical strategy to potential and new customers.
Deliver annual customer clinical results, including the analysis and response.
Champion Humana's consumer vision and strategy to customers, providers, and members.
Trend
Assist in the market-based clinical operations committee which serves to monitor the effectiveness of clinical programs and identify opportunities for improvement.
Help to facilitate a Clinical Condition Center multi-disciplinary team to drive Humana's clinical strategy.
Provide representation when needed for clinical disciplines on market and corporate trend committees to provide translation of business issues to clinical tactics.
Partner with Corporate Operations to optimize members' health care experience.
Provider Relations
Serve as a physician liaison to network providers.
Support the development of provider network by offering clinical expertise to the network contracting teams.
Market Clinical Leader
Actively participate with Market medical leadership to determine and implement strategies that will maximize the market's performance.
Help to provide corporate clinical representation within the Market and vice versa.
Assume accountability for initiatives that are clinical in nature.
Develop strong relationships with market leaders to achieve individual and market success.

Accountabilities:
Clinical expertise for all market activities.
Implementation of market clinical initiatives in conjunction with the Senior Market Medical Director.
Timely completion of project deadlines.
Open communication with market and corporate entities

Key Competencies
Leverages Market, community, and corporate resources to implement local strategic plans, policies, and procedures, in order to achieve sales goals. Leverages critical disciplines to ensure plans will meet or exceed requirements.

Role Essentials
Medical Degree.
Active, unrestricted State License.
5 years clinical experience.
Managed care experience (3 years preferred).
Proven successful leadership experience.
Effective influencing without formal authority: working through others for personal and organizational success.
Ability to manage multiple projects and priorities effectively and to accept direction according to the market needs and priorities.
Excellent presentation and analytical skills.
Exceptional written and oral communication skills to a wide range of associates (front-line to leaders) and both internal and external audiences.
Ability to rapidly build positive relationships with consumers, employers, an