Humana

Medical Director – Nat’l OP Medicare

Humana

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Salary

💰 $223,800 - $313,100 per year

Job Level

Lead

About the role

  • Provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts
  • Supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services
  • After completion of mentored training, daily work is performed with minimal direction
  • Enjoys working in a structured environment with expectations for consistency in thinking and authorship
  • Exercises independence in meeting departmental expectations and meets compliance timelines

Requirements

  • MD or DO degree
  • 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age)
  • Current and ongoing Board Certification in an approved ABMS Medical Specialty
  • A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required
  • No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements
  • Excellent verbal and written communication skills
  • Evidence of analytic and interpretation skills
  • The curiosity to learn, the flexibility to adapt and the courage to innovate.
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 and many other opportunities

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
clinical patient caremedical interpretationanalytical skillsinterpretation skills
Soft skills
verbal communicationwritten communicationcollaborationindependencecuriosityflexibilityadaptabilityinnovation
Certifications
MDDOBoard Certificationunrestricted medical license