Job Summary

• The Medical Director reviews and determines whether healthcare services provided by other healthcare professionals align with national guidelines, CMS requirements, Humana policies, clinical standards, and applicable contracts.
• Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being.
• The Medical Director evaluates the medical necessity of healthcare services, ensuring decisions comply with regulatory and organizational standards.

Matching Summary

Salary

Base: $223,800 - $313,100 per year; Bonus/Equity: eligible for bonus incentive plan; Benefits: medical, dental, vision, 401(k), time off

Skills & Requirements

Key Requirements

• MD or DO degree
• Board certification
• Active and unrestricted state license
• 10 years direct clinical patient care
• Pass credentialing requirements

Work Rights