Remote Medical Director: Rehab Utilization & Policy

Humana Inc; Olympia (WA); Teletrabalho; USD 224 000 - 313 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Bonus incentive plan

Remote work

Resumo da oferta

Humana Inc. is seeking a Medical Director to determine authorization of requested services and levels of care for post-acute rehabilitation. The role emphasizes compliance with CMS and national guidelines, with collaboration across clinical leadership and internal teams.

Expect 5+ years post-residency clinical experience, board certification, and a current medical license. The position is fully remote nationwide within the United States, with standard 40-hour weeks and opportunities in

Qualificações

• MD or DO degree and an active medical license.
• Board certification in an approved ABMS/AOA specialty.
• Experience in utilization management and quality improvement.

Responsabilidades

• Provide medical interpretation and determinations on rehab authorization requests.
• Collaborate with teams to support the review process and outcomes.
• Complete structured training programs and use team support daily.
• Maintain high standards in documentation and decision-making.
• Exercise independence to meet compliance timelines.
• Work remotely 40 hours per week from any U.S. location.

Conhecimentos

Analytical skills

Utilization management

Regulatory compliance

Conflict resolution

Formação académica

MD or DO degree

Board Certified (ABMS/AOA)

Active medical license

Descrição da oferta de emprego

Humana Inc. is seeking a Medical Director to determine authorization of requested services and levels of care for post-acute rehabilitation. The role emphasizes compliance with CMS and national guidelines, with collaboration across clinical leadership and internal teams.

Expect 5+ years post-residency clinical experience, board certification, and a current medical license. The position is fully remote nationwide within the United States, with standard 40-hour weeks and opportunities in