Senior Medical Director, National Utilization Management

A healthcare organization is looking for a Medical Director to oversee clinical decision-making in-line with national guidelines and Humana policies. Responsibilities include reviewing medical records, making determinations on service authorization, and communicating findings effectively with providers. Ideal candidates should hold an MD or DO degree, possess strong communication and analytical skills, and have over 5 years of relevant experience in a clinical setting. This position requires commitment, integrity, and teamwork, along with weekend work on a rotational basis.
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