Medical Director - Onehome

CarePlus Health Plans Inc

Remote
Base: $223,800 - $313,100 py; bonus/equity: eligib...
Hybrid
Review clinical cases
Cms medicare guidance
Humana policies
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

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.
  • All work at OneHome is conducted within a framework of regulatory compliance, securing compliance with all requirements set by federal and state laws.
  • Humana offers competitive benefits that support whole-person well-being, including medical, dental, vision benefits, 401(k) retirement savings plan, and paid time off.

Matching 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.

Salary

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

Skills & Requirements

Must-have

  • Review clinical cases
  • CMS Medicare Guidance
  • Humana policies
  • Regulatory compliance
  • Medical management improvements
  • Weekend and after-hours coverage

Nice-to-have

  • Engaged collaborative team culture
  • Exceptional consumer experiences
  • Adaptable and willing to learn
  • Support Home Solutions

Key Requirements

  • MD or DO degree
  • Active board certification
  • Current and unrestricted state license
  • 10 years direct clinical patient care
  • Pass credentialing requirements
  • Intermediate to advanced Microsoft Office skills

Work Rights

Not specified

Tailored Resume

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