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Remote Medical Director: Utilization & Care Leadership
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 Consultant, Healthcare Management
Job Description & How to Apply Below
Humana, Inc. seeks a Medical Director to review health claims and clinical data, determine medical necessity, and authorize services across inpatient and post-acute settings.
You will work with internal teams to ensure compliance with national guidelines, CMS policies, and Humana contracts while applying Medicare/Medicare Advantage requirements. Remote in the United States, with responsibilities including peer discussions with external physicians, prioritizing reviews, and contributing to care
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