Remote Part-Time Medical Director: Medicare Appeals

Humana, Inc. seeks a Medical Director for a part-time, seasonal, remote role to review Medicare drug appeals (Part D and B) and support value-based care within regulatory guidelines. The role collaborates with clinicians to optimize member outcomes and ensure compliance with CMS policies and Humana procedures. The position requires an MD/DO, an unrestricted license, board certification in relevant specialties, and strong communication and analytical skills; prior utilization or quality