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Remote Medical Director, Claims & Utilization Review

Remote / Online - Candidates ideally in
Nashville, Davidson County, Tennessee, 37247, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-07-09
Job specializations:
  • Doctor/Physician
    Healthcare Consultant, Medical Doctor
Salary/Wage Range or Industry Benchmark: 223800 - 313100 USD Yearly USD 223800.00 313100.00 YEAR
Job Description & How to Apply Below
A leading healthcare organization in Nashville is seeking a Medical Director to provide medical determinations and collaborate with a dynamic healthcare team. The role requires an MD or DO degree with over 5 years of clinical experience, oversight of patient care compliance, and collaboration across departments. The ideal candidate will engage with external physicians and manage complex case reviews while adhering to national guidelines.

A competitive compensation range is offered, along with a bonus incentive plan and comprehensive benefits.
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