Medicare Medical Director Utilization & Care Oversight

Humana

Humana Inc. in Providence, Rhode Island is seeking a Medical Director National OP Medicare. This role includes reviewing preauthorization requests, utilizing medical expertise to determine service authorizations, and conducting reviews of complex clinical cases. The ideal candidate will hold an MD or DO degree and have over 5 years of clinical experience. Strong communication, analytic skills, and compliance knowledge are essential. This full-time position offers a competitive salary and a hybrid working environment. #J-18808-Ljbffr

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Vacancy posted 1 day ago

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