Remote Medical Director: Utilization & Care Reviews

Humana Inc. is seeking a Medical Director who will apply clinical judgment to authorize inpatient services in line with CMS and Humana policies. The role involves reviewing complex cases, coordinating with internal teams, and occasional peer discussions with external providers.

After mentored training, daily decisions are made with limited supervision. Travel to Humana offices may be required; the position enjoys a competitive benefits package and a bonus incentive plan.