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Healthcare Consultant

Medicaid Medical Director — Remote Utilization Leader

Remote / Online - Candidates ideally in
Nashville, Davidson County, Tennessee, 37247, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-20
Job specializations:
  • Healthcare
    Healthcare Consultant
Job Description & How to Apply Below
A healthcare company seeks a Medical Director to navigate complex medical claims and ensure compliance with national guidelines. Responsibilities include reviewing clinical records and collaborating with healthcare professionals. The ideal candidate holds an MD or DO degree, has 5+ years of clinical experience, and is board certified. The role demands analytical skills and communication proficiency within a team environment, supporting the organization’s mission to improve healthcare outcomes.
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