Remote Medical Director, Inpatient Utilization Review
Dover, Kent County, Delaware, 19904, USA
Listed on 2026-10-12
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Doctor/Physician
Chief Medical Officer / Medical Director
Humana Inc. is seeking a Medical Director to oversee inpatient medical necessity reviews, applying national guidelines, CMS regulations, and Humana policies. You will analyze complex cases, determine utilization outcomes, and collaborate with external providers to ensure high-quality decision‑making.
The role emphasizes structured thinking, professional collaboration, and contribution to physician partnerships, with a focus on quality patient care and compliant operations.
We have an opening for a Remote Medical Director, Inpatient Utilization Review in Dover, DE, United States within Bio & Pharmacology & Health.
Take a moment to read everything above and see whether this role is right for you.
This posting is for the Remote Medical Director, Inpatient Utilization Review role at Humana Inc, based in Dover, DE, United States.
We are looking to fill the Remote Medical Director, Inpatient Utilization Review position at Humana Inc in Dover, DE, United States.
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