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Remote Medical Director, Claims & Utilization Review

Remote / Online - Candidates ideally in
Denver, Denver County, Colorado, 80285, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-05-29
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
A healthcare insurance company based in Colorado is seeking an experienced Medical Director. This role involves overseeing clinical determinations, working with healthcare teams, and ensuring compliance with CMS requirements. Candidates must have an MD or DO degree, 5+ years of patient care experience, and be board certified. The position offers competitive remuneration, including a bonus incentive plan, and a hybrid work option is available with occasional travel for training or meetings.
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