[Remote] Medical Director - NorthEast Region at Humana

Candidates must possess an MD or DO degree and have at least 5 years of direct clinical patient care experience post residency or fellowship, preferably including inpatient or Medicare-related population care. A current and ongoing Board Certification in an approved ABMS Medical Specialty, an unrestricted license in at least one jurisdiction, and no current sanctions from federal or state governmental organizations are required. Excellent verbal and written communication skills, along with demonstrated analytic and interpretation skills from prior experience in quality management, utilization management, case management, discharge planning, or home health are also necessary. Preferred qualifications include knowledge of the managed care industry, utilization management experience, familiarity with national guidelines, an advanced degree, and exposure to public health or population health analytics.