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Humana Inc

Medical Director, National UM & IP - Remote Expert

Humana Inc, Providence, Rhode Island, us, 02912

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A healthcare organization is seeking a Medical Director to oversee health claim reviews and ensure compliance with national guidelines. The ideal candidate will possess an MD or DO degree and hold current board certification, along with extensive clinical experience. Responsibilities include analyzing complex clinical scenarios, leading utilization management efforts, and collaborating with external physicians. This is a remote role with occasional travel required for team meetings and training, offering competitive compensation. #J-18808-Ljbffr