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Medical Director Role

2 weeks ago


Salem, Oregon, United States Humana Full time

Job Overview

Humana is seeking a skilled Medical Director to join our team. This individual will utilize their medical expertise to make informed decisions regarding patient care, ensuring that services provided by healthcare professionals align with national guidelines and CMS requirements.

Main Responsibilities

  1. The successful candidate will provide medical interpretation and determinations on services provided by other healthcare professionals.
  2. They will collaborate with the Regional VP Health Services and other departments to ensure seamless communication and coordination.
  3. Daily work will be performed with minimal direction, but with ready support from other team members.

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
  • No current sanction from Federal or State Governmental organizations
  • Excellent verbal and written communication skills

About Humana

Humana is committed to putting health first for our teammates, customers, and company. Through our insurance services and CenterWell healthcare services, we strive to deliver care and service when needed, leading to a better quality of life for those we serve.