Remote Medical Director, PI & Claims Appeals

Humana, Inc. is seeking a Medical Director to review and authorize services in accordance with national guidelines, CMS requirements, and Humana policies.

The role involves evaluating clinical records, discussing determinations with internal teams, and potentially engaging in care management across inpatient, outpatient, and post-acute settings. The position is remote, with travel as needed, and requires 5+ years of direct clinical patient care post-residency, board certification, and licensure

We would love to welcome a new Remote Medical Director, PI & Claims Appeals to our group in Helena, MT, United States.

We appreciate your interest in this position.

Join Humana Inc and contribute to our ongoing work.

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Remote Medical Director, PI & Claims Appeals role at Humana Inc, based in Helena, MT, United States.