Remote Medical Director - Medicare & Regulatory Oversight
Herriman, Salt Lake County, Utah, 84096, USA
Listed on 2026-10-02
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Healthcare
Healthcare Management, Chief Medical Officer / Medical Director, Healthcare Consultant
Humana Inc. is seeking a Medical Director to oversee medical necessity determinations for Medicare/Medicaid members, aligning services with CMS guidelines, Humana policies and contracts.
The role ensures regulatory compliance and clinical standards, reporting to the Lead Medical Director within One Home. Responsibilities include reviewing cases, credentialing, and identifying opportunities for process improvements, with weekend/after-hours rotations and a strong focus on exceptional member
We are looking to fill the Remote Medical Director
- Medicare & Regulatory Oversight position at Humana Inc in Salt Lake City, UT, United States.
The Remote Medical Director
- Medicare & Regulatory Oversight position in the Bio & Pharmacology & Health field is open for applications.
We have an opening for a Remote Medical Director
- Medicare & Regulatory Oversight in Salt Lake City, UT, United States within Bio & Pharmacology & Health.
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