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Remote Medical Director - Medicare Drug Appeals

Remote / Online - Candidates ideally in
Ketchikan, Ketchikan Gateway Borough, Alaska, 99901, USA
Listing for: Humana Inc
Full Time, Remote/Work from Home position
Listed on 2026-11-01
Job specializations:
  • Healthcare
    Healthcare Management, Chief Medical Officer / Medical Director, Healthcare Consultant
Salary/Wage Range or Industry Benchmark: 224000 - 313000 USD Yearly USD 224000.00 313000.00 YEAR
Job Description & How to Apply Below

Humana Inc. is seeking a Medical Director to lead Medicare drug appeals review (Part D &

B) across complex cases, ensuring medical necessity and alignment with Humana policies and Medicare rules.

You will collaborate with clinicians and support staff to deliver value-based care and support CMS audits, with peer discussions and cross-functional teamwork as needed. This is a remote role with occasional travel to Humana offices.

We would love to welcome a new Remote Medical Director
- Medicare Drug Appeals to our organisation in Juneau, AK, United States.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote Medical Director
- Medicare Drug Appeals role in the description above.

We appreciate your interest in this position.

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