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Humana Inc

Medical Director, Outpatient Utilization & Care

workfromhome, HI

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Job description

Humana Inc. seeks a Medical Director to apply clinical judgment in reviewing complex outpatient cases and making coverage determinations. You will work remotely with internal teams and external physicians to support utilization management and care management initiatives.

The role focuses on value-based care, population health, and collaboration within a structured, compliant environment. Travel is occasional, with a 40-hour work week and standard hours.

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Worksite address

workfromhome, HI, 96814, US

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