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Remote Corporate Medical Director, Grievances & Appeals
Remote / Online - Candidates ideally in
Salem, Marion County, Oregon, 97308, USA
Listed on 2026-08-31
Salem, Marion County, Oregon, 97308, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-08-31
Job specializations:
-
Healthcare
Healthcare Management
Job Description & How to Apply Below
Humana Inc. seeks a Corporate Medical Director to provide clinical interpretation and independent judgments on service appropriateness across Medicare, Medicaid and Commercial products.
You will oversee grievance and appeal reviews, ensuring compliance with policies and regulations, while serving as a clinical SME for complex cases. The role requires collaboration with cross-functional teams to improve turnaround times, compliance, and member-centered decision-making, with remote US residency
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