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Humana Inc

Remote Medical Director — Medicare Utilization & UM

Humana Inc, WorkFromHome

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A healthcare insurance provider is seeking a Medical Director to oversee medical necessity reviews and ensure compliance with guidelines. Candidates should possess an MD or DO degree and have at least 5 years of clinical experience. Responsibilities include communicating determinations regarding healthcare services and collaborating with external providers. Offering a competitive compensation package, this role requires a commitment to patient care and teamwork in a structured environment.
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