Medicare Drug Appeals Director — Remote
Humana Inc
Austin, TX
- Remote job
Humana Inc. is seeking a Medical Director to review Medicare drug appeals (Part D & B) and support value-based care within Medicare rules. The role involves computer-based review of complex drug coverage appeals, peer discussions with prescribers, hearings with Administrative Law Judges, CMS audits, and cross-functional collaboration while upholding regulatory compliance and Humana policies. The position emphasizes deep clinical expertise, ongoing credentialing, and collaboration with clinicians #J-18808-Ljbffr Humana Inc
Vacancy posted 2 days ago
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