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Remote Lead Medical Director: Clinical Review & Appeals
Remote / Online - Candidates ideally in
Providence, Providence County, Rhode Island, 02912, USA
Listed on 2026-08-08
Providence, Providence County, Rhode Island, 02912, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-08-08
Job specializations:
-
Healthcare
Healthcare Management -
Management
Healthcare Management
Job Description & How to Apply Below
Humana Inc. is seeking a Lead Medical Director to provide clinical and operational leadership for medical review activities across home health and related services. The role ensures timely, fair, compliant medical necessity determinations for Medicare, Medicaid, and Dual Eligible populations.
You will oversee a team, manage staffing and coverage, and collaborate with One Home and leadership to align practices with Humana's strategy and regulatory requirements.
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