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Humana Inc

Remote Medical Director — Utilization & Care Leadership

workfromhome, AR

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Job description

Humana Inc. is seeking a Medical Director for a remote role focused on medical interpretation and determinations of services in alignment with national guidelines, CMS requirements, and Humana policies.

The position involves review of clinical records, coordination with multidisciplinary teams, and participation in quality and utilization management initiatives across inpatient, outpatient, or post-acute settings.

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Worksite address

workfromhome, AR, 72208, US

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