Remote Medical Director: Medicare Utilization & Care

Humana Inc. is seeking a Medical Director to adjudicate inpatient requests, review clinical records, and ensure compliance with Medicare/Medicaid/Medicare Advantage requirements. You will work with a multidisciplinary team, participate in quality initiatives, and may engage in appeals processes. A mentored training period precedes autonomous duties.

This role emphasizes evidence-based decision making, regulatory adherence, and effective communication across Humana care teams.