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Remote Senior Medical Director, Home‑Based Care & Utilization

Remote / Online - Candidates ideally in
Spring Valley, Clark County, Nevada, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-08-04
Job specializations:
  • Healthcare
    Healthcare Consultant, Healthcare Management
Salary/Wage Range or Industry Benchmark: 246100 - 344200 USD Yearly USD 246100.00 344200.00 YEAR
Job Description & How to Apply Below

Humana Inc. is seeking a Corporate Medical Director to provide medical interpretation, clinical review, and strategic medical leadership for One Home initiatives.

You will review health claims to determine medical necessity across home-based services, applying CMS guidelines and Humana policies with independent judgment. Lead functional strategies, advise executives, and collaborate across home care, Medicare, Medicaid, and commercial populations to drive quality, utilization management, and care

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Position Requirements
10+ Years work experience
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