Remote Medical Director — Claims & Utilization
Columbus, Franklin County, Ohio, 43224, USA
Listed on 2026-10-09
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Doctor/Physician
Chief Medical Officer / Medical Director, Healthcare Consultant, Internal Medicine Physician, Emergency Medicine Physician
Humana is seeking a Medical Director - Claims to lead medical determinations in line with national guidelines, CMS requirements, and Humana policies. You will interpret clinical data, review records, and authorize services across inpatient, outpatient, and post-acute settings, with mentored training to full autonomy.
The role emphasizes utilization management, quality improvement, and collaboration with case managers and care teams.
This is a genuine role to take on the Remote Medical Director — Claims & Utilization role at Remote Co.
Step into the Remote Medical Director — Claims & Utilization role at Remote Co. in United States and grow with us.
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If your experience matches this role, we encourage you to apply.
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This is a Full Time role.
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