Pays $224k-$313k — Medical Management market median is ~$283k (17 jobs)
About the Role
Remote Medical Director role reviewing Medicare drug appeals. Hourly compensation, non-benefitted. Requires MD/DO and board certification.
Join Humana as a Medical Director – Medicare Pharmacy, Remote in Remote.
Benefits & Compensation
- Salary: $223.8K - $313.1K
- Paid time off
- 401(k) retirement savings plan
- Employee assistance program
- Business travel and accident insurance
Work Schedule
- Contract 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 complex Medicare drug appeals by analyzing clinical data against regulatory policies and Humana guidelines. They collaborate with clinicians and support staff to ensure members receive optimal value-based care.
Requirements
Candidates must hold an MD or DO degree with a current, unrestricted medical license and board certification in a relevant specialty. At least 5 years of post-residency clinical experience and familiarity with managed care or utilization management are preferred.
Qualifications
- Education
- Doctoral or professional degree (postgraduate degree)
- Experience
- 5+ years of experience
Certifications
Key Skills
Medical Management — Physician Career Context
Humana holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 82/100, 34 active listings.
Physician pay on WeekdayDoc is up 9.1% vs. the prior quarter (through Aug 2026).
Position Insights
AI ANALYSISThis 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...
