Physician Medical Director - LTSS

HumanaGreat Workplace

1 month ago

United States$223,800 - $313,100 per yearFull TimeGeneral Medicine

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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

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Position Insights

General Medicine — Physician Career Context

This General Medicine position at Humana is open to physician candidates.

Physicians (MD/DO) are in high demand across healthcare settings, with growing interest in positions that offer sustainable schedules and reduced administrative burden.

Compensation Analysis

Humana lists compensation for this physician position at $224k to $313k annually.

Location & Logistics

This position is based in United States.

Skills, Responsibilities & Benefits

Key skills and qualifications: Medical Authorization Review, Medical Necessity Determination, Clinical Experience, Social Determinants of Health, Medical Interpretation, CMS Requirements Adherence, Policy Interpretation, Clinical Standards Application. Candidates with experience in these areas may be especially well-suited for this General Medicine role.

Core responsibilities: The primary responsibility involves the review of medical authorizations to determine the medical necessity of services, level of care, or medical items, dealing with moderately complex to complex issues requiring in-depth evaluation of clinical factors and social determinants of health. The Medical...

Benefits package: Medical, Dental, Vision, 401(k) retirement savings plan, Paid time off, Company and personal holidays, Volunteer time off, Paid parental and caregiver leave. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more General Medicine physician jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.