Remote Chief Medical Officer, Utilization Management

Humana Inc. seeks a Chief Medical Officer, Utilization Management (UM) to serve as the clinical strategist, operator, and visionary for Humana’s UM.

This executive leads MDs, RNs, and non-clinical support across Medicaid and Medicare, driving trend savings, improving Star Ratings, and enhancing efficiency. The role emphasizes evidence-based UM review, clinical leadership, and alignment with Humana’s enterprise objectives.