Remote Medical Director: Medicare & Care Utilization

Humana Inc. seeks a Medical Director to review clinical scenarios, interpret records, and authorize inpatient services in alignment with national guidelines and CMS requirements. The role involves collaboration with peers, mentors, and multiple Humana teams to ensure compliant, high-quality care.

After mentored training, you will handle complex cases, contribute to quality management, and participate in disputes and appeals as needed, while supporting market-wide goals and community relations.