Inpatient Utilization Review Medical Director

Humana is seeking a Medical Director to provide expert inpatient medical necessity reviews, leveraging national guidelines, CMS regulations, Humana policies, and clinical standards.

This role emphasizes case analysis, structured decision-making, collaboration with providers, and impact on patient outcomes, with typical Monday–Friday hours and a remote work setup. Occasional travel to Humana offices may be required.

This Full Time position is for the Inpatient Utilization Review Medical Director role at Humana.

This Full Time opportunity is for the Inpatient Utilization Review Medical Director role at Humana.

We are seeking a motivated Inpatient Utilization Review Medical Director to join Humana in United States.

Consider building your career as a Inpatient Utilization Review Medical Director at Humana.

The Inpatient Utilization Review Medical Director position in the Bio & Pharmacology & Health field is open for applications.