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Remote Medical Director, Utilization & Appeals; Medicare

Remote / Online - Candidates ideally in
Des Moines, Polk County, Iowa, 50319, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-12
Job specializations:
  • Doctor/Physician
    Healthcare Consultant
Salary/Wage Range or Industry Benchmark: 100000 - 125000 USD Yearly USD 100000.00 125000.00 YEAR
Job Description & How to Apply Below
Position: Remote Medical Director, Utilization & Appeals (Medicare)
A leading healthcare company is seeking a Medical Director to oversee clinical determinations in compliance with national guidelines and Humana policies. The ideal candidate will have an MD or DO degree, strong communication and analytical skills, and at least 5 years of relevant clinical experience. Responsibilities include engaging with external physicians and managing care processes effectively. This remote role may require occasional travel for training and meetings.

Competitive salary and benefits are offered, including a bonus incentive plan.
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