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Humana Inc

Medicaid Medical Director — Remote Utilization Leader

Humana Inc, Denver, Colorado, United States, 80285

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A healthcare organization in Denver is seeking a Medical Director to review health claims and make determinations based on clinical guidelines. The ideal candidate will have an MD or DO degree, 5+ years of clinical experience, and strong communication skills. Responsibilities include analyzing clinical scenarios, collaborating with healthcare teams, and ensuring compliance with regulations. This full-time position offers competitive compensation with a pay range from $223,800 to $313,100 per year along with a bonus incentive plan. #J-18808-Ljbffr