Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
Medical Director – Payment Integrity
Location
United States
Posted
98 days ago
Salary
$223.8K - $313.1K / year
Seniority
Lead
Job Description
Job Requirements
- MD or DO degree
- 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).
- Current and ongoing Board Certification an approved ABMS Medical Specialty
- A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required.
- No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.
- Excellent verbal and written communication skills.
- Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance and many other opportunities
Related Guides
Related Categories
Related Job Pages
More Medical Director Jobs
Oncology Navigation Nurse Practitioner
Careerpuck SandboxAt Thyme Care, we share a passion for transforming the cancer care experience – not just for patients but also for their caregivers and loved ones, as well as those delivering and paying for their care. Committed to redefining the status quo in cancer care. Building a diverse team of problem solvers and critical thinkers. Focused on creating a culture of inclusion and celebrating diverse perspectives.
As an Oncology Navigation Nurse Practitioner, you will be a critical clinical team member caring for our members. You will have three primary responsibilities: Using a telemedicine platform, evaluate and manage members identified by our nursing and provider team who have urgent s...
Associate Medical Director – Gastroenterology, Hepatology
Thermo Fisher ScientificThe World Leader In Serving Science
Associate Medical Director providing oversight for clinical trials at Thermo Fisher Scientific
Medical Director, Safety Evaluation – Risk Management, Neuromuscular
Asklepios BioPharmaceutical, Inc. (AskBio)Pioneering science to create transformative molecular medicines.
Medical Director overseeing safety evaluation for gene therapy products
Senior Medical Director overseeing Phase I-III Oncology clinical trials at Celcuity
