Job Details

Humana Inc. is seeking a Chief Medical Officer, Utilization Management, to lead the clinical strategy for Medicaid and Medicare UM, aligning outpatient and inpatient MDs and RNs with Humana's enterprise goals.

This remote executive role focuses on streamlining processes, improving Star Ratings, and driving evidence-based UM reviews. The position requires 10+ years of leadership/UM experience and deep clinical knowledge, with strong analytics and cross-functional collaboration.