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Humana

Medicaid Medical Director — Utilization & Care Leadership

providence, RI

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Job description

Humana is seeking a Medical Director to join our compassionate team in Providence, RI. In this crucial role, you will utilize your medical expertise to review health claims and address complex clinical scenarios while ensuring regulatory compliance.

Your responsibilities will include engaging in utilization management, collaborating with internal teams, and determining the medical necessity of services provided. The ideal candidate will have an MD or DO degree, Board Certification, and significant clinical experience.

This position offers a salary range of $223,800 - $313,100, with potential bonuses based on performance.

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Worksite address

providence, RI, 02912, US

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