Remote Medical Director, Utilization & Care Management
Remote / Online - Candidates ideally in
Boise, Ada County, Idaho, 83701, USA
Listed on 2026-08-03
Boise, Ada County, Idaho, 83701, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-08-03
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Consultant, Healthcare Administration
Job Description & How to Apply Below
Humana Inc. is seeking a Medical Director to perform utilization management, determine the appropriateness of services, and interpret national guidelines for Medicare/Medicare Advantage populations in a remote role.
You will review clinical records, coordinate with physicians and care teams, and participate in quality, dispute and appeals processes, with mentored training and potential travel to Humana offices.
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