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Medical Director, National UM & IP - Remote Expert

Remote / Online - Candidates ideally in
Providence, Providence County, Rhode Island, 02912, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-12
Job specializations:
  • Doctor/Physician
    Healthcare Consultant, Medical Doctor, Chief Medical Officer
Salary/Wage Range or Industry Benchmark: 250000 USD Yearly USD 250000.00 YEAR
Job Description & How to Apply Below
A healthcare organization is seeking a Medical Director to oversee health claim reviews and ensure compliance with national guidelines. The ideal candidate will possess an MD or DO degree and hold current board certification, along with extensive clinical experience. Responsibilities include analyzing complex clinical scenarios, leading utilization management efforts, and collaborating with external physicians. This is a remote role with occasional travel required for team meetings and training, offering competitive compensation.
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