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Remote Medical Director, Outpatient Medicare Utilization

Remote / Online - Candidates ideally in
Cheyenne, Laramie County, Wyoming, 82007, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-10-06
Job specializations:
  • Doctor/Physician
    Primary Care Physician, Internal Medicine Physician, Healthcare Consultant
Salary/Wage Range or Industry Benchmark: 224000 - 313000 USD Yearly USD 224000.00 313000.00 YEAR
Job Description & How to Apply Below

Humana Inc. is seeking a Medical Director to review complex outpatient preauthorization cases, applying guidelines and CMS policies to guide coverage decisions. You will work with internal teams and external physicians to gather information and discuss determinations.

The role emphasizes value-based care, population health, and care management, with remote work options and occasional travel for training or meetings. Strong clinical judgment is essential.

We are currently recruiting a Remote Medical Director, Outpatient Medicare Utilization for our team in Cheyenne, WY, United States.

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Remote Medical Director, Outpatient Medicare Utilization role at Humana Inc, based in Cheyenne, WY, United States.

We are looking to fill the Remote Medical Director, Outpatient Medicare Utilization position at Humana Inc in Cheyenne, WY, United States.

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