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Humana Inc

Medicaid Medical Director — Remote Utilization Leader

Humana Inc, Nashville, Tennessee, United States, 37247

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A healthcare company seeks a Medical Director to navigate complex medical claims and ensure compliance with national guidelines. Responsibilities include reviewing clinical records and collaborating with healthcare professionals. The ideal candidate holds an MD or DO degree, has 5+ years of clinical experience, and is board certified. The role demands analytical skills and communication proficiency within a team environment, supporting the organization’s mission to improve healthcare outcomes. #J-18808-Ljbffr