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Remote Medical Director: Medicare Utilization & Compliance

Remote / Online - Candidates ideally in
Washington, District of Columbia, 20022, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-07
Job specializations:
  • Doctor/Physician
    Healthcare Consultant, Medical Doctor, Emergency Medicine Physician
Job Description & How to Apply Below
A leading healthcare provider in Washington, DC is seeking a Medical Director to review patient care decisions for regulatory compliance. The ideal candidate will have an MD or DO degree, 5+ years of clinical experience, and excellent communication skills. Responsibilities include conducting medical necessity reviews and ensuring compliance with healthcare policies. This role requires weekend work once a month and offers competitive compensation including bonuses.

Benefits include healthcare, 401(k), and various paid time off options.
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