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Remote Medicare Medical Director: Value-Based Care Leader

Humana

Humana Inc. is seeking a Medical Director to review Medicare drug appeals (Part D & B) and guide value-based care. You will analyze complex cases using Medicare rules, Humana policies, and medical necessity, collaborating across departments to support optimal outcomes for members.

The role requires an MD or DO with 5+ years of clinical experience, board certification, and a current medical license. Travel to training or meetings may be required; remote work is possible.

#J-18808-Ljbffr
Vacancy posted 3 days ago
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