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Remote Medical Director, Medicare & Medicaid Compliance

Remote / Online - Candidates ideally in
Bethel, Bethel Census Area, Alaska, 99559, USA
Listing for: Humana
Remote/Work from Home position Listed on 2026-11-15
Job specializations:
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 oversee medical necessity determinations for Medicare and Medicaid members, ensuring alignment with CMS guidelines and Humana policies. You will evaluate services, review clinical cases, and maintain regulatory compliance across a remote environment.

The role requires board-certified physicians, active licenses, and 5+ years of direct clinical care. Expect 40-hour weeks, weekend call rotations, onboarding in EST, and travel to Humana offices as

We would love to welcome a new Remote Medical Director, Medicare & Medicaid Compliance to our group in Juneau, AK, United States.

As a Remote Medical Director, Medicare & Medicaid Compliance, you will play an important part at Humana in Juneau, AK, United States.

We invite applications for the Remote Medical Director, Medicare & Medicaid Compliance position located in Juneau, AK, United States.

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