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Medicaid Medical Director — Utilization & Care Leadership

Job in Providence, Providence County, Rhode Island, 02912, USA
Listing for: Humana
Full Time position
Listed on 2026-09-01
Job specializations:
  • Doctor/Physician
    Healthcare Consultant, Medical Doctor, Internal Medicine Physician, Chief Medical Officer / Medical Director
Salary/Wage Range or Industry Benchmark: 223800 - 313100 USD Yearly USD 223800.00 313100.00 YEAR
Job Description & How to Apply Below

Humana is seeking a Medical Director to join our compassionate team in Providence, RI. In this crucial role, you will utilize your medical expertise to review health claims and address complex clinical scenarios while ensuring regulatory compliance.

Your responsibilities will include engaging in utilization management, collaborating with internal teams, and determining the medical necessity of services provided. The ideal candidate will have an MD or DO degree, Board Certification, and significant clinical experience.

This position offers a salary range of $223,800 - $313,100, with potential bonuses based on performance.

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