Humana
Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
10,000+ employees
Founded 1961
⚕️ Healthcare Insurance
PCO Medical Director – UM
November 7
🇺🇸 United States – Remote
💵 $223.8k - $313.1k / year
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
🦅 H1B Visa Sponsor
Humana
Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
10,000+ employees
Founded 1961
⚕️ Healthcare Insurance
📋 Description
• The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines • Actively uses their medical background, experience, and judgement to make determinations • Conducts Utilization review of the care received by members in an assigned region, market, member population, or condition type • Participates on project teams or organizational committees
🎯 Requirements
• MD or DO degree • 5+ years of direct clinical patient care experience post residency or fellowship • Current and ongoing Board Certification in an approved ABMS Medical Specialty • A current and unrestricted license in at least one jurisdiction • Excellent organizational, verbal and written communication skills • Evidence of analytic and interpretation skills • Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products
🏖️ Benefits
• 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
Apply NowSimilar Jobs
November 7
Medical Director providing leadership for utilization management and quality improvement at a healthcare provider. Collaborating with clinical teams to enhance member care and service outcomes.
November 6
Medical Director providing leadership in clinical trials at Thermo Fisher Scientific. Overseeing clinical study protocols and ensuring compliance with regulations while collaborating with diverse teams.
November 6
Medical Director at Aetna providing subject matter expertise in Orthopedic Spine or Neurosurgery. Leading medical management programs and clinical operations for improved member care.
November 6
Medical Director (Spine) at Aetna providing clinical expertise and overseeing medical management programs. Remote opportunity focusing on orthopedic spine and neurosurgery.
November 4
Medical Director focusing on quality of clinical services for Medicare beneficiaries. Responsible for compliance with clinical guidelines and improving care delivery.