BH Medical Director, Medicaid
Humana · United States · US
Utilization Review
Remote
physician
Dentist
Demand76
Career growth62
Healthcare fit72
Remote potential95
Salary band
USD 224k – 313k
5-year outlook
Senior medical director roles in managed care typically offer executive-level compensation with base, bonus, and benefits, though exact figures vary by market, licensure, and experience. Demand should remain stable but is tied to Medicaid policy, utilization management needs, and behavioral health regulatory changes.
Clinical license
Required
Applicant reach
narrow
Seniority
senior
Employment type
full-time
Date found
2026-10-06
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Dentist
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying for board-certified psychiatrists with utilization management or managed care experience who want a virtual, non-clinical leadership role. It is not suitable for early-career clinicians or physicians without active Illinois licensure and relevant review experience.
Who should apply
Board-certified psychiatrists with at least five years of post-training experience, an active unrestricted Illinois medical license, and prior utilization management, medical-necessity review, peer review, or Medicaid/managed care experience.
CV angle
Frame the CV around board certification, active licensure, behavioral health clinical expertise, utilization management, medical-necessity review, appeals, peer-to-peer discussions, Medicaid policy, quality/compliance, and remote collaboration. Quantify review volume, turnaround times, audit outcomes, and cross-functional leadership where possible.
Skills to highlight
- Utilization management
- Medical necessity review
- Behavioral health and psychiatry
- Medicaid regulations and policy
- Peer-to-peer consultation
- Appeals, disputes, and fair hearings
- Quality review and audit
- Remote clinical documentation and collaboration
Role summary
Virtual senior physician leadership role at Humana providing clinical oversight for Medicaid behavioral health utilization management, including medical-necessity reviews, appeals, peer-to-peer discussions, audits, and regulatory activities.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.