Corporate Medical Director

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The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
The Corporate Medical Director provides medical interpretation, clinical review, and strategic medical leadership to support Humana’s OneHome initiatives. This role reviews health claims and clinical requests to determine the appropriateness and medical necessity of services provided by healthcare professionals, including Home Care Solutions, Skilled Nursing...