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AVP, Stars and Risk Adjustment – National Medical Director 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 JobsMedical Director -Pharmacy Appeals

Pays $224k-$313k — Medical Management market median is ~$283k (17 jobs)

Humana logo
Humana
Remote

Medical Director -Pharmacy Appeals

Medical ManagementFull-Time
Posted 1h ago · Verified live

About the Role

Remote medical director role reviewing Medicare drug appeals at Humana. $224K-$313K.

Join Humana as a Medical Director - Pharmacy Appeals – Remote in Remote.

Benefits & Compensation

  • Salary: $224K - $313K
  • 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 Medical Director reviews moderately complex to complex Medicare drug appeals and collaborates with clinicians to ensure optimal value-based care. Responsibilities include conducting peer-to-peer discussions, supporting CMS audits, and participating in administrative hearings.

Requirements

Candidates must hold an MD or DO degree with at least 5 years of post-doctorate clinical patient care experience. A current, unrestricted physician license and board certification in a relevant specialty such as Internal Medicine or Family Medicine are required.

Qualifications

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

Certifications

Board Certification

Key Skills

Clinical expertiseMedicare Part DMedicare Part BUtilization managementQuality managementPeer to peer discussionsRegulatory complianceMedical necessity reviewData analysisCommunication skillsManaged carePopulation healthClinical literature reviewAdministrative law judge hearingsCMS audit support

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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