R-381302 - Medical Director - Medicare Grievances and Appeals at Humana

Candidates must possess an MD or DO degree, hold a current and unrestricted medical license in at least one jurisdiction, and be willing to obtain licenses in other states as needed. Board certification in an approved ABMS Medical Specialty, excellent communication skills, and at least 5 years of clinical experience are required. A strong understanding of the managed care industry, including Medicare, Medicaid, and commercial products, is also necessary. Preferred qualifications include experience in medical utilization management, working with health insurance organizations, hospitals, and other healthcare providers, and patient interaction. Clinical specialists in Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine, PM&R, Anesthesiology, and General Surgery are preferred.