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Remote Medical Director: Outpatient & Value- Care

Remote / Online - Candidates ideally in
Montpelier, Washington County, Vermont, 05604, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-10-06
Job specializations:
  • Healthcare
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 224000 - 313000 USD Yearly USD 224000.00 313000.00 YEAR
Job Description & How to Apply Below
Position: Remote Medical Director: Outpatient & Value-Based Care

Humana Inc. is seeking a Medical Director for National Outpatient Medicare to review preauthorization requests for complex outpatient cases.

You will apply clinical judgment to determine coverage, level of care, and site of service, using CMS guidelines and Humana policies. You will collaborate with physicians, internal teams, and regional leaders to support value-based care, population health, and improved health outcomes, while ensuring compliance and high-quality utilization management

This posting is for the Remote Medical Director:
Outpatient & Value-Based Care role at Humana Inc, based in Montpelier, VT, United States.

The Remote Medical Director:
Outpatient & Value-Based Care position in the Bio & Pharmacology & Health field is open for applications.

We have an opening for a Remote Medical Director:
Outpatient & Value-Based Care in Montpelier, VT, United States within Bio & Pharmacology & Health.

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