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Job description
Humana Inc. is seeking a Medical Director to determine inpatient service authorizations in a compliant, guideline-driven framework. You will review complex clinical scenarios, assess records, and communicate decisions. This role may include peer discussions with external providers and occasional coding or documentation scope.
You will work with the team to ensure quality management and utilization review while supporting Humana values and mission.
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Worksite address
workfromhome, MT, 59604, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.