Medical Director - Southeast Region

March 26

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Logo of Humana

Humana

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

10,000+ employees

Founded 1961

βš•οΈ Healthcare Insurance

πŸ“‹ Description

β€’ The Medical Director relies on medical background and reviews health claims. β€’ Actively uses medical background, experience, and judgement to make determinations. β€’ Work is performed within a context of regulatory compliance. β€’ Involves review of moderately complex to complex clinical scenarios. β€’ Engages in communication of decisions and possible participation in care management. β€’ Supports regional market priorities, focusing on collaborative relationships.

🎯 Requirements

β€’ MD or DO degree β€’ Occasional weekend work is required β€’ 5+ years of direct clinical patient care experience post residency or fellowship β€’ Current and ongoing Board Certification in an approved ABMS Medical Specialty β€’ A current and unrestricted license in at least one jurisdiction β€’ No current sanction from Federal or State Governmental organizations β€’ Excellent verbal and written communication skills β€’ Evidence of analytic and interpretation skills

πŸ–οΈ Benefits

β€’ Medical, dental and vision benefits β€’ 401(k) retirement savings plan β€’ Paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave β€’ Short-term and long-term disability β€’ Life insurance and many other opportunities

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March 22

Accountable for mortality assessment of complex medical files while supporting the underwriting team.

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