Senior Medical Director, National Utilization Management

A leading health services company is seeking a Medical Director to oversee medical necessity determinations while ensuring compliance with national guidelines and Humana policies. The role includes conducting reviews, engaging with healthcare providers, and requires an MD or DO degree along with at least 5 years of clinical experience. Weekend work is necessary, and while primarily remote, occasional travel to the office may be required.

A culture of teamwork and continuous learning is emphasized in this engaging role.
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