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 – Southeast Medicaid
Location
Florida
Posted
20 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
- Current and ongoing Board Certification in an approved ABMS/AOA Medical Specialty
- No current sanction from Federal or State Governmental organizations, able to pass credentialing requirements
- Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and home health or post-acute services
- Managed Medicaid or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management
- A current and unrestricted license in Florida
- Willing to obtain licensure in South Carolina and Georgia
- Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance
- Experience with national guidelines such as MCG® or InterQual
- Exposure to Public Health, Population Health, analytics, and use of business metrics
- Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health.
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
- many other opportunities
Related Guides
Related Categories
Related Job Pages
More Medical Director Jobs
Medical Director, GDNF
Asklepios BioPharmaceutical, Inc. (AskBio)Pioneering science to create transformative molecular medicines.
Medical Director leading clinical development for gene therapy programs
FirstWave Talent Strategies is dedicated to connecting skilled healthcare professionals with esteemed healthcare organizations. We are currently seeking a compassionate and experienced Dentist to join our client’s dental practice, delivering high-quali...
FirstWave Talent Strategies has been retained to identify a Chief Medical Officer for a growth-oriented healthcare organization committed to clinical excellence and long-term value creation.This executive will shape clinical strategy, elevate quality o...
FirstWave Talent Strategies has been retained to identify a Physician for a growth-oriented healthcare organization committed to clinical excellence and long-term value creation.This physician will deliver comprehensive patient care, contribute to qual...
