Remote Medical Director: Medicare Appeals & ValueBased Care
Hamden, New Haven County, Connecticut, 06514, USA
Listed on 2026-10-28
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Healthcare
Healthcare Management, Healthcare Consultant, Chief Medical Officer / Medical Director
Humana Inc. in the United States seeks a Medical Director to review Medicare drug appeals (Part D &
B) with broad clinical expertise. You will analyze complex cases, apply Medicare rules and Humana policies to determine coverage decisions.
The role involves computer-based reviews, peer discussions with prescribers, potential hearings, CMS audits and cross-functional collaboration to support value-based care. Travel may be required for trainings or meetings.
This role, Remote Medical Director:
Medicare Appeals & Value Based Care at Humana Inc, could be your next career step.
We have an opening for a Remote Medical Director:
Medicare Appeals & Value Based Care in Hartford, CT, United States within Bio & Pharmacology & Health, Management & Operations.
This role, Remote Medical Director:
Medicare Appeals & Value Based Care at Humana Inc, could be your next move.
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