Physician Medical Director - LTSS

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Humana
Today
United States$223,800 - $313,100 per yearFull TimeGeneral MedicineinNot on LinkedIn

Job Description

About the Role

Join Humana as a Physician Medical Director - LTSS in United States. Become a part of our caring community and help us put health first The Long-term services and supports (LTSS) Medical Director's primary responsibility is the review of medical authorizations. This review determines the medical necessity of a given service, level of care, or medical item/supply.

Key Responsibilities

  • The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS.

Requirements

  • for licensing details.
  • The Long-term services and supports (LTSS) Medical Director's primary responsibility is the review of medical authorizations.
  • This review determines the medical necessity of a given service, level of care, or medical item/supply.
  • The Medical Director's work assignments involve moderately complex to complex issues.

Benefits & Compensation

  • Salary: $223,800 - $313,100 per year

Work Schedule

  • Full-time position.
  • No explicit call, weekend, or night shift information provided.

This position offers competitive compensation. Work with Humana in United States.

Key Skills

Medical Authorization ReviewMedical Necessity DeterminationClinical ExperienceSocial Determinants of HealthMedical InterpretationCMS Requirements AdherencePolicy InterpretationClinical Standards ApplicationCollaborationUtilization ManagementQuality ManagementDischarge PlanningRehabilitation ServicesHome Health ServicesManaged Care KnowledgeCredentialing
HealthcareManagement & LeadershipSocial Servicesvia Workday
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About Humana

Insurance
Louisville, Kentucky
5-10

Benefits & Perks

Medical
Dental
Vision
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
4.0

Burnout Score

Below Average

Job Details

Employment Type

Full Time

Posted

today