Medical Director National OP, Medicare
Humana · United States · US
Utilization Review
Remote
physician
Dentist
Demand80
Career growth75
Healthcare fit85
Remote potential70
Salary band
USD 224k – 313k
5-year outlook
Stable demand for medical directors in utilization review, with compensation typically competitive for experienced physicians; exact figures vary by location and experience.
Clinical license
Required
Applicant reach
narrow
Seniority
senior
Employment type
full-time
Date found
2026-10-24
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Contract
- Hours
- Variable hours
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Dentist
- Rate period
- Annual
Why this was classified this way
- contract
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 considering for experienced, board-certified physicians seeking a non-clinical role with work-life balance and utilization review focus, but the high experience barrier limits eligibility.
Who should apply
Board-certified physicians (MD/DO) with 5+ years of clinical experience, preferably in inpatient or Medicare populations, interested in utilization review and managed care.
CV angle
Highlight clinical experience with Medicare populations, board certification, analytical skills, experience with guidelines and compliance, communication and conflict resolution skills, and any utilization review or care management exposure.
Skills to highlight
- Clinical judgment
- Utilization review
- Medicare/Medicare Advantage
- CMS guidelines
- Communication
- Conflict resolution
- Analytical skills
- Care management
Role summary
Review preauthorization requests for medical services, determine coverage based on clinical guidelines and CMS policies, and communicate decisions to internal and external stakeholders.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.