14 Medical Leadership jobs in the United States
Associate Medical Director (Co-Leadership Role)
Posted 4 days ago
Job Viewed
Job Description
- Brand-new facility featuring separate suites for surgery, radiology, dental, and feline care
- Fully equipped with digital dental radiography, ultrasound, EMR, and therapeutic laser
- Designed for growth, with multiple exam rooms and space for specialty expansion
- Supportive operations team and clinical staff ready to bring your vision to life
Location: Plainfield, IL
Are you ready to shape the future of veterinary care while stepping into a meaningful leadership role?
Join a thriving, newly renovated veterinary hospital just 35 miles southwest of Chicago that blends cutting-edge medical care with community-focused values. We're seeking a dynamic Associate Medical Director to co-lead a state-of-the-art facility and help build a practice where people and pets alike feel at home.
This is more than a job - it's a career-defining opportunity to co-own your impact and your future.
What Makes This Role Unique?
- Leadership with Purpose : Partner with the Medical Director and a dedicated clinical team to foster a culture of collaboration, growth, and gold-standard care.
- Equity Opportunity : Access to our Leadership Equity Program - earn ownership in the company without cash investment.
- Career Growth : Influence hospital operations and clinical protocols while developing your own leadership path.
- Supportive Culture : Work in a high-trust, low-ego environment that prioritizes well-being and mentorship.
- Modern Facilities : Practice in a fully equipped hospital with digital dental radiography, EMR, ultrasound, therapeutic laser, and room to grow with specialty services.
Who You Are
- A veterinarian with clinical excellence and a genuine passion for client communication.
- A leader or aspiring leader who thrives on collaboration and mentorship.
- A problem solver who remains calm and confident in clinical or surgical pressure situations.
- Someone who values community and wants to make a long-term impact on a local level.
Additional Information
Estimated Compensation Range (Full-Time Medical Director):
Base Salary: $150k - $50k/ 300k+/year
Plus: Production-based bonuses, equity partnership , and full benefits (health, CE, PTO, etc.) 50k signing/retention bonus
Director, Physician Leadership - Medical Directors + BH
Posted today
Job Viewed
Job Description
Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive.
Against that backdrop, we are seeking an accomplished healthcare leader for the newly-created role of Director, Physician Leadership. In this role, you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+ million Medicare members. You will also facilitate the delivery of high quality, appropriate, and consistent clinical decision making to ensure appropriate outcomes and drive better quality health outcomes for our members.
To succeed in this position, you will need to be well versed in CMS knowledge of outpatient, inpatient, behavioral health and appeal criteria including regulation and policies. You much also be passionate about collaborating and partnering across the enterprise (e.g., with Clinical Operations, Markets, Care Management, Analytics, Pharmacy, etc.) to develop discrete, high-value strategies and to ensure execution of those strategies. And finally, you must driven by sustainably improving health outcomes for some of our most vulnerable members.
The Director, Physician leadership will lead Medical Directors performing utilization management for Medicare inpatient and behavioral medicine case types. This position can be located anywhere within the lower 48 states.
**Key Responsibilities** **:**
+ Lead an operational team of Medical Directors to review authorizations and ensure clinical decision-making skills that align to internal policy and CMS regulations.
+ Establish key metrics of success for this and operational progress against them. Metrics should be inclusive of quality, access, and financial metrics, such as medical trend reduction and administrative costs.
+ Collaborate with partners across the enterprise to develop, articulate, implement, evaluate, and refine a set of strategic initiatives that address, but are not limited to, the following domains:
+ _Access_ _:_ Ensure Humana members have fair and consistent authorization review and ability to appeal and have justification for the clinical decision.
+ _Analytics and Measurement_ _:_ Measurement to improve our ability to identify trends, highlight areas for improvement for star measure, establish tactics for advancing outcomes, and evaluate the impact of our strategic initiatives. Work collaboratively with enterprise teams to evaluate and synthesize data to inform clinically appropriate and advance the health outcomes of our members.
+ _Outcomes_ : Characterize the impactable drivers of prior authorization and Success in driving consistent and quality outcomes for our members.
+ _Internal Operations and Technology_ _:_ Support efforts to improve the efficiency of health plan operations (utilization management and provider clinical contracting) to reduce friction for members, providers, and associates.
+ _External Partnerships_ _:_ Explore, evaluate, and implement novel partnerships-with national and community-based organizations-that will expand Humana's ability to impact health outcomes.
+ _Innovation_ _:_ Support health innovation including increasing access to virtual and specialty care.
+ Establish and maintain external relationships to ensure awareness of leading-edge innovation and policy changes in CMS clinical outcomes; represent Humana and Humana's UM health strategy in external venues
**Use your skills to make an impact**
**Required Qualifications**
+ The ideal candidate will have extensive healthcare industry experience (typically 5+ years) or related experience leading the development and implementation of complex strategic and/or operational initiatives. He/she will understand the UM CMS ecosystem-including gaps and opportunities to improve the value and quality of care-especially for seniors. In addition, this person will demonstrate leadership effectiveness and ability to design and implement constructive change within an organization and across multiple organizations. Medical Doctorate Degree with unrestricted up to date certification and up to date board certification in a US recognized medical discipline.In addition to the above, the following qualifications and personal attributes are sought:
+ A record of success leading diverse cross-functional teams to execute on complex projects within a matrixed organization and moving them toward a common vision related to motivation, engagement, and goal attainment.
+ Demonstrated analytic acumen, with the ability to leverage data to drive decision making and improve outcomes
+ Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences
+ Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs concurrently and win their co-ownership in the outcome
+ Current or recent experience in a large, highly matrixed company (i.e., Fortune 250), with proven ability to influence cross-functional teams, leaders, and key stakeholders in such an environment
+ Strong leadership skills, with proven success in expanding and elevating the capabilities and performance of the team
+ Deep understanding and experience with healthcare policies and operations in a managed care setting
+ Deep understanding of regulatory environment and medical investigations within the utilization management and behavior health utilization management.
**Preferred Qualifications**
+ Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.
+ Internal Medicine, Family Practice, Geriatrics, OBGYN, Hospitalist clinical specialists.
**Additional Information**
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$98,000 - 409,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-23-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
?
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
Director, Physician Leadership - Medical Directors + BH
Posted today
Job Viewed
Job Description
Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive.
Against that backdrop, we are seeking an accomplished healthcare leader for the newly-created role of Director, Physician Leadership. In this role, you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+ million Medicare members. You will also facilitate the delivery of high quality, appropriate, and consistent clinical decision making to ensure appropriate outcomes and drive better quality health outcomes for our members.
To succeed in this position, you will need to be well versed in CMS knowledge of outpatient, inpatient, behavioral health and appeal criteria including regulation and policies. You much also be passionate about collaborating and partnering across the enterprise (e.g., with Clinical Operations, Markets, Care Management, Analytics, Pharmacy, etc.) to develop discrete, high-value strategies and to ensure execution of those strategies. And finally, you must driven by sustainably improving health outcomes for some of our most vulnerable members.
The Director, Physician leadership will lead Medical Directors performing utilization management for Medicare inpatient and behavioral medicine case types. This position can be located anywhere within the lower 48 states.
**Key Responsibilities** **:**
+ Lead an operational team of Medical Directors to review authorizations and ensure clinical decision-making skills that align to internal policy and CMS regulations.
+ Establish key metrics of success for this and operational progress against them. Metrics should be inclusive of quality, access, and financial metrics, such as medical trend reduction and administrative costs.
+ Collaborate with partners across the enterprise to develop, articulate, implement, evaluate, and refine a set of strategic initiatives that address, but are not limited to, the following domains:
+ _Access_ _:_ Ensure Humana members have fair and consistent authorization review and ability to appeal and have justification for the clinical decision.
+ _Analytics and Measurement_ _:_ Measurement to improve our ability to identify trends, highlight areas for improvement for star measure, establish tactics for advancing outcomes, and evaluate the impact of our strategic initiatives. Work collaboratively with enterprise teams to evaluate and synthesize data to inform clinically appropriate and advance the health outcomes of our members.
+ _Outcomes_ : Characterize the impactable drivers of prior authorization and Success in driving consistent and quality outcomes for our members.
+ _Internal Operations and Technology_ _:_ Support efforts to improve the efficiency of health plan operations (utilization management and provider clinical contracting) to reduce friction for members, providers, and associates.
+ _External Partnerships_ _:_ Explore, evaluate, and implement novel partnerships-with national and community-based organizations-that will expand Humana's ability to impact health outcomes.
+ _Innovation_ _:_ Support health innovation including increasing access to virtual and specialty care.
+ Establish and maintain external relationships to ensure awareness of leading-edge innovation and policy changes in CMS clinical outcomes; represent Humana and Humana's UM health strategy in external venues
**Use your skills to make an impact**
**Required Qualifications**
+ The ideal candidate will have extensive healthcare industry experience (typically 5+ years) or related experience leading the development and implementation of complex strategic and/or operational initiatives. He/she will understand the UM CMS ecosystem-including gaps and opportunities to improve the value and quality of care-especially for seniors. In addition, this person will demonstrate leadership effectiveness and ability to design and implement constructive change within an organization and across multiple organizations. Medical Doctorate Degree with unrestricted up to date certification and up to date board certification in a US recognized medical discipline.In addition to the above, the following qualifications and personal attributes are sought:
+ A record of success leading diverse cross-functional teams to execute on complex projects within a matrixed organization and moving them toward a common vision related to motivation, engagement, and goal attainment.
+ Demonstrated analytic acumen, with the ability to leverage data to drive decision making and improve outcomes
+ Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences
+ Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs concurrently and win their co-ownership in the outcome
+ Current or recent experience in a large, highly matrixed company (i.e., Fortune 250), with proven ability to influence cross-functional teams, leaders, and key stakeholders in such an environment
+ Strong leadership skills, with proven success in expanding and elevating the capabilities and performance of the team
+ Deep understanding and experience with healthcare policies and operations in a managed care setting
+ Deep understanding of regulatory environment and medical investigations within the utilization management and behavior health utilization management.
**Preferred Qualifications**
+ Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.
+ Internal Medicine, Family Practice, Geriatrics, OBGYN, Hospitalist clinical specialists.
**Additional Information**
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$98,000 - 409,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-23-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
?
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
Director, Physician Leadership - Medical Directors + MD trainer
Posted today
Job Viewed
Job Description
Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive.
Against that backdrop, we are seeking an accomplished healthcare physician leader for the newly-created role of Director, Physician Leadership. In this role, you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+ million Medicare members. You will also facilitate the delivery of high quality, appropriate, and consistent clinical decision making to ensure appropriate outcomes and drive better quality health outcomes for our members.
To succeed in this position, you will need to be well versed in CMS knowledge of outpatient, inpatient and appeal criteria including regulation and policies. You much also be passionate about collaborating and partnering across the enterprise (e.g., with Clinical Operations, Markets, Care Management, Analytics, Pharmacy, etc.) to develop discrete, high-value strategies and to ensure execution of those strategies. And finally, you must driven by sustainably improving health outcomes for some of our most vulnerable members.
The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team to assist and facilitate new hires and remediation of medical directors performing Medicare utilization management processes and be the liaison for the Medicare Market Provider Experience Clinician. This position can be located anywhere within the lower 48 states.
**Key Responsibilities** **:**
+ Lead an operational team of Medical Directors to review authorizations and ensure clinical decision-making skills that align to internal policy and CMS regulations.
+ Establish key metrics of success for this and operational progress against them. Metrics should be inclusive of quality, access, and financial metrics, such as medical trend reduction and administrative costs.
+ Collaborate with partners across the enterprise to develop, articulate, implement, evaluate, and refine a set of strategic initiatives that address, but are not limited to, the following domains:
+ _Access_ _:_ Ensure Humana members have fair and consistent authorization review and ability to appeal and have justification for the clinical decision.
+ _Analytics and Measurement_ _:_ Measurement to improve our ability to identify trends, highlight areas for improvement for star measure, establish tactics for advancing outcomes, and evaluate the impact of our strategic initiatives. Work collaboratively with enterprise teams to evaluate and synthesize data to inform clinically appropriate and advance the health outcomes of our members.
+ _Outcomes_ : Characterize the impactable drivers of prior authorization and look at appeals rate with denials and overturns. Deliver the upmost consistent medical director decision making.
+ _Internal Operations and Technology_ _:_ Support efforts to improve the efficiency of health plan operations (utilization management and provider clinical contracting) to reduce friction for members, providers, and associates.
+ _External Partnerships_ _:_ Explore, evaluate, and implement novel partnerships-with national and community-based organizations-that will expand Humana's ability to impact health outcomes.
+ _Innovation_ _:_ Support health innovation including increasing access to virtual and specialty care.
+ Establish and maintain external relationships to ensure awareness of leading-edge innovation and policy changes in CMS clinical outcomes; represent Humana and Humana's UM health strategy in external venues
**Use your skills to make an impact**
**Required Qualifications**
+ The ideal candidate will have extensive healthcare industry experience (typically 5+ years) or related experience leading the development and implementation of complex strategic and/or operational initiatives. He/she will understand the UM CMS ecosystem-including gaps and opportunities to improve the value and quality of care-especially for seniors. In addition, this person will demonstrate leadership effectiveness and ability to design and implement constructive change within an organization and across multiple organizations. MD - Doctor of Medicine is required.In addition to the above, the following qualifications and personal attributes are sought:
+ A record of success leading diverse cross-functional teams to execute on complex projects within a matrixed organization and moving them toward a common vision related to motivation, engagement, and goal attainment.
+ Demonstrated analytic acumen, with the ability to leverage data to drive decision making and improve outcomes
Deep understanding of regulatory environment and medical investigations within the Utilization Management
Deep understanding and experience with healthcare policies and operations in a managed care setting Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs concurrently and win their co-ownership in the outcome Current or recent experience in a large, highly matrixed company (i.e., Fortune 250), with proven ability to influence cross-functional teams, leaders, and key stakeholders in such an environment Strong leadership skills, with proven success in expanding and elevating the capabilities and performance of the team
**Additional Information**
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$98,000 - 409,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-23-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
?
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
Director, Physician Leadership - Medical Directors + MD trainer
Posted today
Job Viewed
Job Description
Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive.
Against that backdrop, we are seeking an accomplished healthcare physician leader for the newly-created role of Director, Physician Leadership. In this role, you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+ million Medicare members. You will also facilitate the delivery of high quality, appropriate, and consistent clinical decision making to ensure appropriate outcomes and drive better quality health outcomes for our members.
To succeed in this position, you will need to be well versed in CMS knowledge of outpatient, inpatient and appeal criteria including regulation and policies. You much also be passionate about collaborating and partnering across the enterprise (e.g., with Clinical Operations, Markets, Care Management, Analytics, Pharmacy, etc.) to develop discrete, high-value strategies and to ensure execution of those strategies. And finally, you must driven by sustainably improving health outcomes for some of our most vulnerable members.
The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team to assist and facilitate new hires and remediation of medical directors performing Medicare utilization management processes and be the liaison for the Medicare Market Provider Experience Clinician. This position can be located anywhere within the lower 48 states.
**Key Responsibilities** **:**
+ Lead an operational team of Medical Directors to review authorizations and ensure clinical decision-making skills that align to internal policy and CMS regulations.
+ Establish key metrics of success for this and operational progress against them. Metrics should be inclusive of quality, access, and financial metrics, such as medical trend reduction and administrative costs.
+ Collaborate with partners across the enterprise to develop, articulate, implement, evaluate, and refine a set of strategic initiatives that address, but are not limited to, the following domains:
+ _Access_ _:_ Ensure Humana members have fair and consistent authorization review and ability to appeal and have justification for the clinical decision.
+ _Analytics and Measurement_ _:_ Measurement to improve our ability to identify trends, highlight areas for improvement for star measure, establish tactics for advancing outcomes, and evaluate the impact of our strategic initiatives. Work collaboratively with enterprise teams to evaluate and synthesize data to inform clinically appropriate and advance the health outcomes of our members.
+ _Outcomes_ : Characterize the impactable drivers of prior authorization and look at appeals rate with denials and overturns. Deliver the upmost consistent medical director decision making.
+ _Internal Operations and Technology_ _:_ Support efforts to improve the efficiency of health plan operations (utilization management and provider clinical contracting) to reduce friction for members, providers, and associates.
+ _External Partnerships_ _:_ Explore, evaluate, and implement novel partnerships-with national and community-based organizations-that will expand Humana's ability to impact health outcomes.
+ _Innovation_ _:_ Support health innovation including increasing access to virtual and specialty care.
+ Establish and maintain external relationships to ensure awareness of leading-edge innovation and policy changes in CMS clinical outcomes; represent Humana and Humana's UM health strategy in external venues
**Use your skills to make an impact**
**Required Qualifications**
+ The ideal candidate will have extensive healthcare industry experience (typically 5+ years) or related experience leading the development and implementation of complex strategic and/or operational initiatives. He/she will understand the UM CMS ecosystem-including gaps and opportunities to improve the value and quality of care-especially for seniors. In addition, this person will demonstrate leadership effectiveness and ability to design and implement constructive change within an organization and across multiple organizations. MD - Doctor of Medicine is required.In addition to the above, the following qualifications and personal attributes are sought:
+ A record of success leading diverse cross-functional teams to execute on complex projects within a matrixed organization and moving them toward a common vision related to motivation, engagement, and goal attainment.
+ Demonstrated analytic acumen, with the ability to leverage data to drive decision making and improve outcomes
Deep understanding of regulatory environment and medical investigations within the Utilization Management
Deep understanding and experience with healthcare policies and operations in a managed care setting Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs concurrently and win their co-ownership in the outcome Current or recent experience in a large, highly matrixed company (i.e., Fortune 250), with proven ability to influence cross-functional teams, leaders, and key stakeholders in such an environment Strong leadership skills, with proven success in expanding and elevating the capabilities and performance of the team
**Additional Information**
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$98,000 - 409,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-23-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
?
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
Medical Director - Leadership Opportunity with Generous Sign-On & Relocation Package to Chesapeak...
Posted today
Job Viewed
Job Description
This is a unique opportunity to help build and grow a practice from the ground up , while supported by a dedicated team and a network that values your leadership and vision. If you're someone who thrives in a collaborative, patient-focused environment and enjoys mentoring others, this could be a perfect fit.
Why Greenbrier?
At GACC, we're committed to providing top-tier care in a warm, professional, and down-to-earth setting. We're proud to be a trusted part of the community and prioritize strong client relationships, intentional medicine, and work-life balance for our team.
What to Expect in This Role:
- Full-time, Monday-Friday schedule (no weekends, on-call, or emergency shifts!)
- Lead a supportive team focused on excellent patient care and a positive work culture
- Help shape the future of the hospital-from clinical standards to culture and services
We're Looking for Someone Who:
- Has 5+ years of clinical experience
- Communicates clearly and leads with empathy
- Has strong skills in surgery and dentistry
- Loves working with and learning from their team
- Enjoys mentoring and helping others grow
- Believes in lifelong learning and professional development
We're Offering:
- Competitive base salary (no negative accrual) + production
- Equity incentives - grow with us long-term!
- Generous sign-on + relocation bonus
- $1,000 monthly housing stipend (for your first 12 months)
- Medical, dental, and vision coverage (with HSA option)
- Paid tolls to make your commute easier
- Annual CE allowance + paid CE days
- 401(k) options
- Parental leave and bonding time
- License renewals, AVMA dues, and PLIT coverage - all covered
- Discounts for your own pets
- And more!
Why Chesapeake?
Nestled just 10 miles from downtown and 20 minutes from the beach, Chesapeake offers a perfect mix of nature, city living, and community charm. It's consistently ranked among the best places to live in the U.S., with great schools, beautiful outdoor spaces, and a laid-back lifestyle that's hard to beat.
Our Hours:
We're open Monday through Friday, 9:00am to 5:00pm -that's it!
If you're ready to make an impact, grow in leadership, and help shape a practice from the ground up , we'd love to hear from you.
Let's connect!
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Associate Medical Director of Psychiatry - Leadership Role
Posted 1 day ago
Job Viewed
Job Description
Advance your career in Healthcare Leadership. WE'RE HIRING!
We are seeking an experienced medical professional for the key role of Associate Medical Director of Psychiatry . This position offers you the opportunity to support clinical operations, mentor talented medical staff, and uphold exceptional standards of care. If you're dedicated to delivering outstanding psychiatric services and managing vital mental health programs, we invite you to apply.
Why join us?
- Immediate Start Dates: Begin making a positive impact on patients' lives without delay through our efficient onboarding process.
- Convenient Weekly Pay: Benefit from fast, reliable income with weekly direct deposits or pay card options.
- Comprehensive Benefits from Day 1: Access medical, dental, and vision coverage along with professional development support and exclusive perks right from your first day.
Key Responsibilities:
- Oversee clinical programs to ensure high-quality care and compliance with hospital standards.
- Develop and implement policies in line with FDA regulations and HIPAA guidelines.
- Supervise and support medical staff to encourage professional growth.
- Collaborate with research teams to integrate innovative practices into clinical care.
- Manage payer relationships to enhance outcomes and optimize resource utilization.
- Ensure precise use of medical terminology in documentation.
- Monitor and improve patient care quality and safety initiatives.
- Lead projects aimed at enhancing operational efficiency and service delivery.
What We're Looking For:
- MD or DO from an accredited institution; board certification in Psychiatry.
- Extensive clinical experience, ideally in a hospital environment.
- Strong understanding of FDA regulations, HIPAA, and healthcare standards.
- Proven skills in healthcare project management and administrative duties.
- Effective team leadership and supervisory experience (2+ years preferred).
- Knowledge of managed care systems and patient care protocols.
- Excellent communication skills; proficient in medical terminology.
- Commitment to continuous learning and clinical excellence.
- Active DEA registration, physician permits, and Texas medical license in good standing.
- Must meet background clearance requirements per TAC and HHSC standards.
We are quickly reviewing applications and resumes. Apply today for prompt consideration!
Please note - You must be able to commute to Denton, TX. Experience is required for this position.
Disclaimer: By applying to Marathon Staffing, you consent to being contacted for employment-related opportunities. Marathon Staffing utilizes various communication channels to reach applicants, including telephone, email, and texting. By applying, you agree to receive text communications, which you can opt out of by contacting
Marathon Staffing represents a diverse array of employers, and while many may share similar roles, pay rates, job locations, and employment nature can vary based on employer needs.
Marathon is an Equal Opportunity Employer.
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About the latest Medical leadership Jobs in United States !
Associate Medical Director of Psychiatry - Leadership Role
Posted 1 day ago
Job Viewed
Job Description
Advance your career in Healthcare Leadership. WE'RE HIRING!
We are seeking an experienced medical professional for the key role of Associate Medical Director of Psychiatry . This position offers you the opportunity to support clinical operations, mentor talented medical staff, and uphold exceptional standards of care. If you're dedicated to delivering outstanding psychiatric services and managing vital mental health programs, we invite you to apply.
Why join us?
- Immediate Start Dates: Begin making a positive impact on patients' lives without delay through our efficient onboarding process.
- Convenient Weekly Pay: Benefit from fast, reliable income with weekly direct deposits or pay card options.
- Comprehensive Benefits from Day 1: Access medical, dental, and vision coverage along with professional development support and exclusive perks right from your first day.
Key Responsibilities:
- Oversee clinical programs to ensure high-quality care and compliance with hospital standards.
- Develop and implement policies in line with FDA regulations and HIPAA guidelines.
- Supervise and support medical staff to encourage professional growth.
- Collaborate with research teams to integrate innovative practices into clinical care.
- Manage payer relationships to enhance outcomes and optimize resource utilization.
- Ensure precise use of medical terminology in documentation.
- Monitor and improve patient care quality and safety initiatives.
- Lead projects aimed at enhancing operational efficiency and service delivery.
What We're Looking For:
- MD or DO from an accredited institution; board certification in Psychiatry.
- Extensive clinical experience, ideally in a hospital environment.
- Strong understanding of FDA regulations, HIPAA, and healthcare standards.
- Proven skills in healthcare project management and administrative duties.
- Effective team leadership and supervisory experience (2+ years preferred).
- Knowledge of managed care systems and patient care protocols.
- Excellent communication skills; proficient in medical terminology.
- Commitment to continuous learning and clinical excellence.
- Active DEA registration, physician permits, and Texas medical license in good standing.
- Must meet background clearance requirements per TAC and HHSC standards.
We are quickly reviewing applications and resumes. Apply today for prompt consideration!
Please note - You must be able to commute to Denton, TX. Experience is required for this position.
Disclaimer: By applying to Marathon Staffing, you consent to being contacted for employment-related opportunities. Marathon Staffing utilizes various communication channels to reach applicants, including telephone, email, and texting. By applying, you agree to receive text communications, which you can opt out of by contacting
Marathon Staffing represents a diverse array of employers, and while many may share similar roles, pay rates, job locations, and employment nature can vary based on employer needs.
Marathon is an Equal Opportunity Employer.
Associate Medical Director | Psychiatry Department | Healthcare Leadership
Posted today
Job Viewed
Job Description
Elevate Your Career in Healthcare Leadership – Apply Now!
We are excited to invite applications for the role of Associate Medical Director of Psychiatry . This is a fantastic opportunity for seasoned medical professionals passionate about making a difference in psychiatric services and mental health programs.
In this pivotal role, you will:
- Lead clinical operations to ensure the highest quality of care and adherence to hospital standards.
- Formulate and execute policies in accordance with FDA regulations and HIPAA guidelines.
- Provide mentorship and support to medical staff to nurture their professional growth.
- Collaborate with research teams to bring innovative practices into patient care.
- Manage relationships with payers to optimize outcomes and resource utilization.
- Ensure precise use of medical terminology in all documentation.
- Monitor quality and safety initiatives to bolster patient care standards.
- Initiate projects aimed at improving operational efficiency and service delivery.
What We Are Looking For:
- MD or DO from an accredited institution; board certification in Psychiatry is essential.
- Extensive clinical experience, preferably within a hospital environment.
- Strong familiarity with FDA regulations, HIPAA, and healthcare standards.
- Demonstrated skills in healthcare project management and administration.
- Proven team leadership and supervisory experience (2+ years preferred).
- Understanding of managed care systems and patient care protocols.
- Excellent communication skills and proficiency in medical terminology.
- Dedication to continuous learning and clinical excellence.
- Active DEA registration and Texas medical license in good standing.
- Ability to meet background clearance requirements as per TAC and HHSC standards.
If you are ready to make an impact and advance your career in psychiatry, apply today! You will need to commute to Denton, TX. Experience is required for this position.
Marathon Staffing represents a diverse panel of employers, and while job titles and descriptions may overlap, factors such as pay rates and employment conditions can vary based on employer needs.
Marathon is an Equal Opportunity Employer.
Associate Medical Director | Psychiatry Department | Healthcare Leadership
Posted today
Job Viewed
Job Description
Elevate Your Career in Healthcare Leadership – Apply Now!
We are excited to invite applications for the role of Associate Medical Director of Psychiatry . This is a fantastic opportunity for seasoned medical professionals passionate about making a difference in psychiatric services and mental health programs.
In this pivotal role, you will:
- Lead clinical operations to ensure the highest quality of care and adherence to hospital standards.
- Formulate and execute policies in accordance with FDA regulations and HIPAA guidelines.
- Provide mentorship and support to medical staff to nurture their professional growth.
- Collaborate with research teams to bring innovative practices into patient care.
- Manage relationships with payers to optimize outcomes and resource utilization.
- Ensure precise use of medical terminology in all documentation.
- Monitor quality and safety initiatives to bolster patient care standards.
- Initiate projects aimed at improving operational efficiency and service delivery.
What We Are Looking For:
- MD or DO from an accredited institution; board certification in Psychiatry is essential.
- Extensive clinical experience, preferably within a hospital environment.
- Strong familiarity with FDA regulations, HIPAA, and healthcare standards.
- Demonstrated skills in healthcare project management and administration.
- Proven team leadership and supervisory experience (2+ years preferred).
- Understanding of managed care systems and patient care protocols.
- Excellent communication skills and proficiency in medical terminology.
- Dedication to continuous learning and clinical excellence.
- Active DEA registration and Texas medical license in good standing.
- Ability to meet background clearance requirements as per TAC and HHSC standards.
If you are ready to make an impact and advance your career in psychiatry, apply today! You will need to commute to Denton, TX. Experience is required for this position.
Marathon Staffing represents a diverse panel of employers, and while job titles and descriptions may overlap, factors such as pay rates and employment conditions can vary based on employer needs.
Marathon is an Equal Opportunity Employer.