Remote Medical Director: Medicare Utilization & Care

Humana Inc. is seeking a Medical Director to adjudicate inpatient requests, review clinical records, and ensure compliance with Medicare/Medicaid/Medicare Advantage requirements. You will work with a multidisciplinary team, participate in quality initiatives, and may engage in appeals processes. A mentored training period precedes autonomous duties.

This role emphasizes evidence-based decision making, regulatory adherence, and effective communication across Humana care teams.

This is a strong role to take on the Remote Medical Director:
Medicare Utilization & Care role at Humana Inc.

We are seeking a motivated Remote Medical Director:
Medicare Utilization & Care to join Humana Inc in Cheyenne, WY, United States.

Consider building your career as a Remote Medical Director:
Medicare Utilization & Care at Humana Inc.

The Remote Medical Director:
Medicare Utilization & Care position in the Bio & Pharmacology & Health field is open for applications.