Medical Director Position

4 days ago


Lincoln, Nebraska, United States Humana Full time
Job Overview

The National Medicare Team at Humana is seeking a highly skilled and experienced Medical Director to join our team. As a key member of our organization, you will be responsible for providing medical interpretation and determinations on services provided by other healthcare professionals.


This role requires strong analytical and communication skills, as well as the ability to work independently with minimal direction. The ideal candidate will have a strong background in clinical patient care and experience working in an inpatient environment.


Responsibilities:

  • Provide medical interpretation and determinations on services provided by other healthcare professionals.
  • Collaborate with other team members, departments, and Humana colleagues to support market-wide objectives and community relations.
  • Exercise independence in meeting departmental expectations and meets compliance timelines.
  • Support assigned work with respect to market-wide objectives and community relations as directed.

Requirements:

  1. M.D. or D.O. degree.
  2. 5+ years of direct clinical patient care experience post-residency or fellowship, preferably including some experience in an inpatient environment and/or related to care of a Medicare-type population.
  3. Current and ongoing Board Certification in an approved ABMS Medical Specialty.
  4. A current and unrestricted license in at least one jurisdiction and willingness to obtain additional licenses, if required.

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