Humana is seeking a Medical Director to review complex outpatient cases, determine authorizations, and support utilization management. You will apply clinical guidelines and CMS policies to guide decisions, collaborate with physicians, and contribute to value-based care.
This remote role requires MD/DO, board certification, and at least 5 years of clinical experience; licensure in one or more jurisdictions and willingness to obtain additional licenses.
#J-18808-LjbffrMedical Director, Outpatient Medicare (Remote) in saint paul at Unknown Company
This position is listed as full time and able to be worked remotely.