Chief Medical Officer – CMO

Humana

. Create and oversee clinical strategy for the region .

Posted 9/16/2026full-timeRemote • Michigan • United StatesLead💰 $327,700 - $450,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical strategy development and oversight, with a strong focus on quality improvement, utilization management, and fiscal responsibility within health services operations. Proven ability to lead teams, manage clinical programs, and maintain compliance with healthcare regulations.

Highest-signal resume keywords

MD Or DO DegreeBoard Certified In An Approved ABMS Medical Specialty8 Years Of Management ExperienceKnowledge Of The Managed Care IndustryClinical Experience In Quality Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Strategy DevelopmentUtilization ManagementQuality ImprovementHEDIS/STARS Metrics ImprovementDischarge PlanningHome Health ExperienceFinancial Analysis Of Risk-Bearing ContractsPeer Review ProcessesProvider ContractingMarket-Level Strategy Implementation

Soft Skills

Excellent Communication SkillsProblem-SolvingTeam LeadershipInterpersonal SkillsOrganizational Skills

Certifications & Qualifications

Current And Unrestricted Medical LicenseBoard Certification

Industry Keywords

MedicareMedicaidCommercial ProductsHealth Insurance OrganizationsPatient InteractionQuality Management CommitteeMatrixed EnvironmentClinical LiaisonGeriatricsInternal Medicine

About the role

Key responsibilities & impact

Create and oversee clinical strategy for the region
Provide medical leadership and strategy for Health Services Operations with fiscal responsibility for trend management
Oversee regional utilization management and case management for inpatient cases, LTSS services and the Humana Medicare Model of Care
Chair the Quality Management Committee and participate in Quality Operations
Complete initial peer review on quality-of-care complaints
Complete peer-to-peer written and verbal communications
Oversee the administrative budget for regional Health Services Operations and Quality Improvement
Approve or deny expense reports and requisition requests for department members
Oversee Quality Improvement and HEDIS/STARS metrics improvement with PCP offices and IPAs
Participate in regional committees and meetings that set medical necessity strategies
Oversee and direct implementation of regional clinical programs and strategies
Develop and implement market-level strategies
Manage internal operational and functional relationships related to profitability
Assist with network development and provider contracting
Serve as clinical liaison with inpatient facilities and joint operating committees
Maintain facility relationships and resolve problems, including reviewing contracts regarding clinical services
Apply knowledge of financial aspects of risk-bearing contracts to gain provider traction and adoption
Work effectively in a highly matrixed environment

Requirements

What you’ll need

MD or DO degree
8 or more years of management experience
A current and unrestricted license in at least one jurisdiction, with willingness to obtain licenses as required for various states in the region of assignment
Board Certified in an approved ABMS Medical Specialty
Excellent communication skills
5 years of established clinical experience
Knowledge of the managed care industry, including Medicare, Medicaid and/or Commercial products
Analysis and interpretation skills with prior experience leading teams focused on quality management, utilization management, discharge planning and/or home health or rehabilitation
Passion for contributing to an organization focused on continuously improving consumer experiences
Preferred: medical management experience with health insurance organizations, hospitals and other healthcare providers, and patient interaction
Preferred: Internal Medicine, Family Practice, Geriatrics, Hospitalist, ER or PM&R clinical specialization
Preferred: Master's Degree
Minimum home internet speed of 25 Mbps download and 10 Mbps upload
Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information
Ability to travel 20% in Michigan and to the corporate office in Kentucky

Benefits

Comp & perks

Bonus incentive plan based on company and/or individual performance
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Dedicated home workspace requirement supporting protection of member PHI/HIPAA information
Remote work arrangement
Occasional travel to Humana offices for training or meetings