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Healthcare Consultant

Medical Director — Claims & Appeals

Remote / Online - Candidates ideally in
Springfield, Sangamon County, Illinois, 62777, USA
Listing for: Humana
Remote/Work from Home position
Listed on 2026-03-01
Job specializations:
  • Healthcare
    Healthcare Consultant
Salary/Wage Range or Industry Benchmark: 100000 - 125000 USD Yearly USD 100000.00 125000.00 YEAR
Job Description & How to Apply Below
A leading health insurance provider is seeking a Medical Director to oversee care management and ensure compliance with regulations. This remote position requires an MD or DO degree and experience in clinical patient care. The role involves making medical determinations, collaborating with healthcare teams, and interpreting guidelines. Ideal candidates will have a strong background in managed care and excellent communication skills.

Competitive compensation and benefits included, with occasional travel to the office for training and meetings.
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