Remote Medical Director: Medicare & Compliance

Humana, Inc. is seeking a Medical Director to oversee medical necessity determinations for Medicare and Medicaid members, ensuring alignment with CMS guidelines, Humana policies, and clinical standards.

The role involves review of services, regulatory compliance, and collaboration with leadership to drive operational improvements. Remote work is available with a 40-hour schedule, including call rotations and after-hours coverage.

We are currently recruiting a Remote Medical Director:
Medicare & Compliance for our team in Santa Fe, NM, United States.

This role offers the option to work remotely.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote Medical Director:
Medicare & Compliance role in the description above.

We appreciate your interest in this position.

Join Humana and contribute to our ongoing work.