[Remote] Medical Director, Medicare Grievances at Humana

Candidates must have an MD or DO degree, a current and unrestricted license in at least one jurisdiction (willing to obtain more as required), board certification in an approved ABMS Medical Specialty, excellent communication skills, 5 years of established clinical experience, knowledge of the managed care industry including Medicare, and analysis skills with team leadership experience in quality or utilization management.

This is a remote position with a Monday-Friday schedule and intermittent weekends; occasional travel to Humana's offices for training or meetings may be required. Home or Hybrid associates need self-provided internet meeting minimum speeds (25 Mbps download, 10 Mbps upload recommended), a dedicated workspace for HIPAA compliance, and Humana provides telephone equipment.

The job description mentions a compensation range reflecting a good faith estimate of starting base pay for full-time employment but does not provide the specific figures.

Humana seeks candidates passionate about contributing to an organization focused on continuously improving consumer experiences.

Strong candidates will have the required MD/DO, licensure, board certification, clinical experience, and managed care knowledge, plus preferred medical management experience with health insurance, hospitals, providers, and patient interaction, especially in Internal Medicine, Family Practice, Geriatrics, or Hospitalist specialties.