Medicaid Medical Director — Remote Utilization Leader

A healthcare services organization is seeking a Medical Director to provide medical interpretations and determinations while ensuring compliance with national guidelines and Humana’s policies. This role involves collaboration with various departments, conducting utilization reviews, and directly impacting patient care for Medicare and Medicaid populations. Applicants should possess an MD or DO degree, along with significant clinical experience and strong analytical skills.

The position is remote with occasional travel, offering a competitive compensation range of $223,800 - $313,100 annually.
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