Humana Inc
Medicaid Medical Director — Remote Utilization Leader
Humana Inc, Boston, Massachusetts, us, 02298
A national health services organization is seeking a Medical Director to oversee service authorizations, ensuring compliance with national guidelines and CMS requirements. This role involves reviewing clinical records, communicating decisions, and supporting care management initiatives. The ideal candidate holds an MD or DO degree, has at least 5 years of clinical experience, and is well-versed in Medicare/Medicaid practices. This remote position may require occasional travel for training. Competitive salary range from $223,800 - $313,100 annually, plus bonus opportunities.
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