Medical Director - Nat'l UM Team Alt Weekends
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Summary
About the Role
About You
- MD or DO degree
- 5+ years of direct clinical patient care experience post residency or fellowship, preferably in an inpatient environment or with a Medicare population
- Current and ongoing Board Certification in an approved ABMS Medical Specialty
- A current and unrestricted medical license in at least one jurisdiction
- No current sanctions from Federal or State Governmental organizations
- Excellent verbal and written communication skills
- Evidence of analytic and interpretation skills with prior team experience
- Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid
- Utilization management experience in a medical management review organization
- Experience with national guidelines such as MCG® or InterQual
- Experience in hospital-based clinical practice in relevant specialties
- Curiosity to learn and flexibility to adapt to changes
- Ability to thrive in a dynamic, team-oriented environment
- Commitment to a culture of innovation and technology use
- Participation in educational activities and content creation for training
Benefits
- Competitive medical, dental, and vision benefits
- 401(k) retirement savings plan
- Paid time off including company and personal holidays
- Volunteer time off
- Paid parental and caregiver leave
- Short-term and long-term disability insurance
- Life insurance and additional opportunities
Humana will never ask, nor require a candidate to provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact yourcareer@humana.com to validate the request At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.