Remote Medical Director - Medicare Drug Appeals
Humana
New York, NY
- Remote job
Humana is seeking a Medical Director to review Medicare drug appeals (Part D & B) leveraging broad clinical expertise. The role involves case-by-case analysis of Medicare rules and Humana policies, plus collaboration with clinicians to optimize value-based care. Responsibilities include peer discussions with prescribers, participating in hearings, and supporting CMS audits while ensuring regulatory compliance across Humana policies and clinical literature. #J-18808-Ljbffr Humana
Vacancy posted 1 day ago
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