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Remote Medical Director, Utilization & Appeals; Medicare

Remote / Online - Candidates ideally in
Olympia, Thurston County, Washington, 98502, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-20
Job specializations:
  • Healthcare
    Healthcare Consultant, Healthcare Management
Job Description & How to Apply Below
Position: Remote Medical Director, Utilization & Appeals (Medicare)
A national healthcare provider seeks a Medical Director to oversee clinical determinations and services in accordance with regulatory guidelines. The ideal candidate will possess an MD or DO degree, extensive clinical experience, and strong communication skills. Responsibilities include decision-making on services, collaboration with healthcare teams, and conducting care management. This remote role offers competitive compensation, a bonus incentive, and comprehensive benefits including health insurance and 401(k) plans.
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