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Humana Medical Director Jobs (NOW HIRING)

Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana ...

Internal Auditor I

Louisville, KY · On-site +1

$53K - $72K/yr

Execute the audit plan as directed by leader while contributing useful ideas. * Perform testing of ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

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Humana Medical Director information

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$13K

$232.4K

$357K

How much do humana medical director jobs pay per year?

As of Jun 9, 2026, the average yearly pay for humana medical director in the United States is $232,369.00, according to ZipRecruiter salary data. Most workers in this role earn between $198,000.00 and $284,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Humana Medical Director, and why are they important?

To thrive as a Humana Medical Director, you need a medical degree (MD or DO), board certification, and extensive clinical experience, often in primary care or a relevant specialty. Familiarity with healthcare management systems, utilization review tools, and compliance regulations such as Medicare and Medicaid is typically required. Strong leadership, decision-making, and effective communication skills are crucial for collaborating with clinicians and administrative teams. These competencies are vital for ensuring high-quality, cost-effective care delivery and regulatory adherence within a complex healthcare organization.

What are some common challenges faced by a Humana Medical Director and how can they be addressed?

Humana Medical Directors often navigate complex decisions involving clinical policy, utilization management, and ensuring high-quality patient care while balancing cost efficiency. A common challenge is staying updated with constantly evolving healthcare regulations and evidence-based practices. Effective communication and collaboration with multidisciplinary teams, including clinicians, case managers, and administrators, are crucial to address these challenges. Proactive engagement in ongoing education and leveraging Humana’s resources can help Medical Directors remain effective and adaptable.

What is a Humana Medical Director?

A Humana Medical Director is a licensed physician who works for Humana, a major health insurance company. They oversee clinical programs, review medical necessity for healthcare services, and help develop policies to ensure that care provided to members is evidence-based and cost-effective. Medical Directors collaborate with healthcare providers, support utilization management, and play a key role in quality improvement initiatives. Their work ensures that Humana members receive appropriate, high-quality care while managing healthcare resources efficiently.

What is the difference between Humana Medical Director vs Humana Medical Reviewer?

AspectHumana Medical DirectorHumana Medical Reviewer
CredentialsMedical degree, medical license, often board-certifiedMedical degree, medical license, often board-certified
Work EnvironmentLeadership role overseeing clinical policies and provider networksReviewing claims and medical documentation for accuracy and coverage
Employer & IndustryHumana, healthcare insurance industry

The Humana Medical Director typically holds a leadership position, overseeing clinical operations and policy development, while the Humana Medical Reviewer focuses on evaluating medical claims and documentation. Both roles require medical credentials and work within the healthcare insurance industry, but they differ in responsibilities and level of seniority.

Infographic showing various Humana Medical Director job openings in the United States as of June 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 84% Physical, and 16% Remote job distribution, with an average salary of $232,369 per year, or $111.7 per hour.
Associate Director, Technology Solutions

Associate Director, Technology Solutions

Humana

Nashville, TN • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago


Humana rating

8.0

Company rating: 8.0 out of 10

Based on 252 frontline employees who took The Breakroom Quiz

145th of 260 rated insurance


Job description

Become a part of our caring community
The Associate Director, Technology Solutions supports the architecture, integration, and technology decisions across Resolutions technology ecosystem. This position partners with senior leaders to advance interoperability and scalability of systems that support Grievance, appeals and Correspondence routing engine contributing to the broader Member experience and compliance requirements with CMS. The Associate Director assists with budget planning and execution for technology initiatives and provides team leadership to foster innovation and performance.

Support the Resolution Horizontal at Humana by providing system ownership, leading technology teams, and ensuring effective delivery execution in alignment with proforma targets. This role is responsible for managing and evolving resolutions-related systems, supporting the broader vision established by leadership. The Associate Director collaborates closely with senior leaders to implement technology solutions, drive project execution, and ensure Humana processes and standards are consistently followed.

Core responsibilities include managing teams, executing strategic initiatives, and collaborating across functions to deliver high-quality solutions that meet business and regulatory requirements. The Associate Director will play a key role in delivery execution, monitoring progress against proforma, and maintaining compliance with Humana's technical and security standards. Upholding Humana values-Caring, Curious, and Committed-is essential in this role, both in team leadership and cross-functional partnerships.

Strategic & Technical Support

  • Collaborate with leaders to support Resolution Technology ecosystem architecture, ensuring alignment with enterprise standards and objectives.

  • Assist in defining integration approaches for Grievances, appeals, correspondence routing engine related systems.

  • Support modernization projects, including API design, cloud adoption, and data interoperability.

  • Promote adherence to Humana North Star Architecture principles within Resolution Tech ecosystem.

Innovation & Modernization

  • Participate in platform improvement efforts through adoption of emerging technologies (e.g., cloud-native, AI/ML).

  • Encourage best practices in Agile delivery, DevOps, and API development.

Integration Support

  • Support integration across internal systems and external partners.

  • Assist in implementing data exchange and interoperability standards.

Business Partnership & Financial Stewardship

  • Work closely with Product Owners, business leaders, and cross-functional teams to deliver solutions that meet regulatory and business needs.

  • Help translate business requirements into technical strategies and roadmaps.

  • Assist with budget tracking, business use cases, and financial modeling to support technology investments.

Compliance & Security

  • Support controls for data privacy, security, and regulatory compliance.

  • Promote adherence to Humana technical and security standards.

Leadership & Talent Development

  • Manage and develop a team of technology professionals, encouraging innovation, accountability, and improvement.

  • Support representation of Member platforms in relevant strategic forums.

A successful candidate would:

  • Demonstrated experience with budgeting, business case support, and financial modeling.

  • Demonstrate delivery of IT projects in regulated environments.

  • Demonstrate strong communication, stakeholder management, and organizational skills.

  • Have knowledge of cloud-based architecture, Security standards and API frameworks.

  • Have an understanding of insurance products, benefits administration, and healthcare industry standards.

  • Demonstrate awareness Scaled Agile Framework based software delivery practices.

Required Qualifications

  • Bachelor's degree in Computer Science or related technology field.

  • 5+ years of progressive IT experience, including participation in large technology projects.

  • Hands-on experience in architecture and engineering role(s).

  • 5+ years experience working with Cloud (Azure or GCP preferred) technologies.

  • 2 + years of formal leadership experience leading associate teams of 3 or more individuals.

  • Previous experience with SaaS vendor management and executing contract resources.

  • Demonstrated financial acumen, including experience with budgeting, business case development, and proforma creation.

Preferred Qualifications

  • Master's degree

  • Experience working with data lakes with a preference for Databricks experience.

  • Experience managing correspondence in a healthcare setting around grievances and appeals and building correspondence routing in AI.

  • Epic experience


Use your skills to make an impact
      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.


      $142,300 - $195,700 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.
      About us
      About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


      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.


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      About Humana

      Sourced by ZipRecruiter

      Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

      Industry

      Health care and social assistance

      Company size

      10,000+ Employees

      Headquarters location

      Louisville, KY, US

      Year founded

      1961

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