Remote Medical Director - Utilization & Care Management

Humana

Humana, Inc. seeks a Medical Director to interpret medical data and make determinations on services in alignment with national guidelines, CMS requirements, and Humana policies.

The role includes reviewing clinical records, discussing decisions with care teams, and supporting utilization management across Medicare, Medicaid, and commercial products. Reporting to the Lead Medical Director, the position is remote with 40 hours weekly, and may involve travel for training or meetings as needed,

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Vacancy posted 3 days ago

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