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Chief Medical Officer (CMO), Group Medicare

Become a part of our caring community and help us put health first. The Chief Medical Officer (CMO), Group Medicare leads and is accountable for the clinical performance of a $12B in revenue Group Medicare Segment and will serve as a key member of the Group Medicare Leadership Team, directly responsible for and overseeing multiple teams within Group Medicare. Will develop, articulate and advance the clinical vision and mission both within the organization and externally with clients to drive outcomes and performance for the overall team. With deep clinical expertise, the CMO develops and oversees national Group MA's clinical strategy, contributing across interdepartmental organizational segments and influencing enterprise-wide integration. The CMO owns decisions that will impact long term strategy and ensure the business division exceeds outcomes related but not limited to trend, pharmacy, UM, clinical performance, risk adjustment, and stars. This CMO frequently interacts with the senior management team when representing Group MA with the Group MA SVP. In this capacity, the CMO provides strategic leadership on interdepartmental initiatives that align with enterprise-wide initiatives most commonly working with National Medical, Pharmacy, Risk Adjustment, Stars, Product Design, Trend Bender, and Network operations leaders. The role monitors Groups clinical performance and to implement trend mitigation and risk adjustment programs with ownership of developing new methods and programs within the Group MA membership population. The CMO ensures that clinical strategies support high-quality, equitable, and cost-effective care for Humana's Group Medicare members, fostering innovation while maintaining compliance with regulatory standards. Additionally, the Chief Medical Officer (CMO), Group Medicare, proactively cultivates and sustains external relationships with CMOs from our Group clients. In this capacity, the CMO serves as an executive clinical ambassador for Humana, engaging in peer-to-peer discussions and providing expert guidance on complex clinical matters, thereby strengthening collaboration and trust between Humana and its partners.

Required Qualifications :

• A current and unrestricted medical Physician (MD / DO) license in at least one jurisdiction.
• Demonstrates exceptional communication and presentation skills, effectively translating complex clinical initiatives into clear, actionable messages. Adept at engaging in peer-to-peer discussions with Group client CMOs, as well as presenting sophisticated topics in accessible, layperson terms to external business leaders. This ensures broad understanding, alignment, and support for Group Medicare strategies across diverse audiences.
• 10+ years of established clinical experience.
• Knowledge of the managed care industry including Group Medicare, Medicare, Medicaid and / or Commercial products.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
• Ability to travel nationally 30% of the time.

Responsibilities :

Use your skills to make an impact. 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. $327,700 - $450,600 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.

Application Deadline : 02-28-2026

About us Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https : / / www.humana.com / legal / accessibility-resources?source=Humana_Website