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Medical Director -Pharmacy Appeals at Humana — RemoteMedical Director - Florida at CVS Health — FloridaMedical Director at Cigna Healthcare — ArizonaSenior Medical Director, Medicare & Value-Based Payment at Excellusbcbs — Utica, New YorkMedical Director at Thecigna Group — United StatesMedical Director - Midland States at CVS Health — Illinois
JobsDoctor JobsRemote Doctor JobsAVP, Stars and Risk Adjustment – National Medical Director

Pays $246k-$344k — Medical Management market median is ~$283k (17 jobs)

Humana logo
Humana
Remote

AVP, Stars and Risk Adjustment – National Medical Director

Medical ManagementFull-Time
Posted 1h ago · Verified live

About the Role

Remote national medical director role at Humana. Provides clinical leadership for STARS and Risk Adjustment initiatives. $246K-$344K.

Join Humana as a AVP, Stars and Risk Adjustment – National Medical Director in Remote.

Benefits & Compensation

  • Salary: $246K - $344K
  • Medical, dental, vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Bonus incentive plan

Work Schedule

  • Full-Time position.
  • Remote position - work from anywhere.

This position offers remote work flexibility, competitive compensation. Work with Humana in Remote.

Key Responsibilities

The Associate Vice President provides clinical leadership and strategic direction for STARS and Risk Adjustment initiatives while driving provider engagement. They are responsible for developing KPIs, overseeing clinical quality programs, and ensuring compliance with regulatory standards.

Requirements

Candidates must possess an advanced clinical degree (MD or DO) and have demonstrated experience in clinical leadership within managed care or quality improvement environments. Strong communication skills and the ability to lead high-performing teams are essential for this role.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
10+ years of experience

Key Skills

Clinical leadershipRisk adjustmentSTARS initiativesProvider engagementStrategic planningKPI developmentHealthcare complianceQuality improvementManaged careData analysisPhysician partnershipRegulatory requirementsClinical quality programsTeam managementPerformance measurement

Position Insights

AI ANALYSIS

This role scores 4.5/10 on work-life balance for Medical Management roles.

Career trajectory: This position offers advancement within 2-3 years. The compensation analysis shows this employer pays...

Benefits analysis: Compared to 17 similar roles, this listing's benefits package ranks...

Browse more Medical Management jobs

Categories this role is listed in

Telehealth Physician JobsMedical Director JobsDoctor Salary & Jobs
Humana logo

About Humana

Insurance
Louisville, Kentucky
10,000+ employees
Website All Humana jobs

Benefits & Perks

Medical, dental, vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Bonus incentive plan
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