Medicaid Medical Director — Remote Utilization Leader

A major health service provider is seeking a Medical Director to oversee clinical service interpretations and ensure compliance with national guidelines and Humana policies. This role requires a minimum of 5 years of clinical experience post-residency, strong communication skills, and the ability to analyze complex clinical scenarios. The Medical Director will be responsible for supporting collaborative care management and quality assurance, making impactful decisions on healthcare services.

The position offers a compensation range of $223,800 - $313,100 annually, with potential bonus incentives.
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