Become a Medical Director - Claims at Humana, making determinations on requested services, level of care, and site of service within a regulatory compliant context. Review clinical scenarios, communicate with physicians, and support regional market priorities.
Requirements
- MD or DO degree
- 5+ years of direct clinical patient care experience
- Current and ongoing Board Certification
- Current and unrestricted license
- No current sanction from Federal or State Governmental organizations
- Evidence of analytic and interpretation skills
- Knowledge of managed care industry
- Utilization management experience
- Experience with national guidelines such as MCG or InterQual
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
