Remote Medical Director: Utilization & Care Oversight

Humana Inc. is seeking a Medical Director to review complex inpatient and post-acute cases, ensuring alignment with national guidelines and CMS requirements. The role supports Humana values, collaborates across teams, and may include peer discussions and coding practices review.

Responsibilities include clinical decision-making, mentoring, and participating in discharge planning, quality and utilization reviews. Travel to Humana offices may be required occasionally.