Remote Medical Director - Acute Rehab & Utilization

Humana Inc; United States; On-site; USD 180,000 - 260,000; Full time

Job summary

Humana Inc is seeking a Medical Director to assess authorization requests for acute inpatient rehabilitation within a remote, nationwide US framework. The role emphasizes adherence to CMS requirements, national clinical guidelines, and Humana policies, with ongoing training and collaboration across teams.

Ideal candidates hold an MD or DO with 5+ years of clinical care, ABMS/AOA board certification, and active licensure.

Qualifications

• MD or DO degree required.
• Board certification in an ABMS/AOA specialty.
• Current unrestricted medical license in at least one jurisdiction.

Responsibilities

• Provide medical interpretation and determinations on authorization requests.
• Collaborate with Humana teams to support review processes and quality outcomes.
• Participate in structured training and utilize team support during daily work.
• Maintain high standards of documentation and decision-making.
• Exercise independence to meet enterprise expectations and timelines.

Skills

Analytic and interpretation skills

Collaboration and teamwork

Regulatory compliance

Education

MD or DO degree

Board Certification in ABMS or AOA

Job description

Humana Inc is seeking a Medical Director to assess authorization requests for acute inpatient rehabilitation within a remote, nationwide US framework. The role emphasizes adherence to CMS requirements, national clinical guidelines, and Humana policies, with ongoing training and collaboration across teams.

Ideal candidates hold an MD or DO with 5+ years of clinical care, ABMS/AOA board certification, and active licensure.