
Medical Director - National Medicare Team
At Humana, we are dedicated to improving the health and well-being of our members by providing comprehensive and innovative healthcare solutions. As the Medical Director for our National Medicare Team, you will play a critical role in shaping and executing our Medicare strategy to ensure the delivery of high-quality and cost-effective care to our members. We are looking for a dynamic and experienced leader with a strong background in Medicare, who is passionate about making a positive impact on the lives of others. If you are a collaborative, results-driven individual with a deep understanding of the Medicare landscape, we invite you to join our team and help us fulfill our mission of helping people achieve their best health.
- Develop and implement the Medicare strategy for Humana's National Medicare Team.
- Oversee and manage the delivery of high-quality and cost-effective healthcare solutions for Humana's Medicare members.
- Continuously evaluate and improve Medicare processes and procedures to ensure compliance with regulations and best practices.
- Provide leadership and direction to the National Medicare Team to achieve performance goals and objectives.
- Collaborate with cross-functional teams to identify and implement innovative solutions to improve the health and well-being of Humana's Medicare members.
- Serve as a subject matter expert on Medicare and provide guidance and support to other teams within Humana.
- Work closely with healthcare providers to establish and maintain strong relationships and ensure effective coordination of care for Medicare members.
- Monitor and analyze Medicare trends and data to identify opportunities for improvement and develop action plans to address any issues.
- Maintain a thorough understanding of the changing Medicare landscape and proactively recommend strategies to adapt and stay ahead of the competition.
- Represent Humana at industry events and conferences to promote our Medicare programs and services.
- Collaborate with internal and external stakeholders to ensure compliance with all Medicare regulations and requirements.
- Foster a culture of continuous learning and development within the National Medicare Team to enhance their knowledge and skills.
- Participate in budget planning and management to ensure efficient and effective use of resources.
- Serve as a role model for ethical and professional behavior, promoting Humana's values and mission.
- Act as a spokesperson for Humana's Medicare programs, communicating our mission and goals to stakeholders and the public.
Medical Degree And Active Medical License: The Medical Director Must Hold A Medical Degree From An Accredited Institution And Have An Active Medical License In The State Where They Will Be Working.
Board Certification: The Ideal Candidate Should Be Board-Certified In A Medical Specialty Such As Internal Medicine, Family Medicine, Or Geriatric Medicine.
Extensive Experience In Medicare And Healthcare Management: The Medical Director Should Have A Minimum Of 5-7 Years Of Experience Working In The Medicare Industry And Have A Deep Understanding Of Medicare Regulations And Guidelines.
Strong Leadership Skills: The National Medicare Team Is Responsible For Overseeing The Medical Services And Care Provided To Humana's Medicare Members. The Medical Director Must Have Excellent Leadership Skills To Effectively Manage Their Team And Ensure The Delivery Of High-Quality Care.
Excellent Communication And Collaboration Skills: The Medical Director Will Work Closely With Other Departments Within Humana, As Well As External Partners And Providers. Strong Communication And Collaboration Skills Are Essential For Success In This Role.
Quality Improvement
Strategic Planning
Team Management
Budget management
Leadership
Risk assessment
Utilization management
Data
Clinical Expertise
Healthcare Policy
Provider Network Management
Medicare Regulations
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Teamwork
Adaptability
Problem-Solving
Decision-making
According to JobzMall, the average salary range for a Medical Director - National Medicare Team is between $200,000 and $300,000 per year. However, this can vary depending on factors such as location, experience, and the specific organization or healthcare company. Some Medical Directors in this role may earn up to $400,000 or more in higher paying areas or with more experience. Additionally, bonuses and other forms of compensation may be offered, which could increase the overall salary range.
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Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.

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