Humana Inc. is seeking a Medical Director to oversee outpatient Medicare case reviews, determining coverage and level of care with clinical judgment and evidence-based standards. You will coordinate with physicians, manage complex determinations, and contribute to care management initiatives to improve outcomes.
The role emphasizes value-based care, population health, and collaboration with internal partners to ensure compliant utilization management and high-quality service delivery.
#J-18808-LjbffrRemote Medical Director, Outpatient Utilization ValueBased in austin at Unknown Company
This position is listed as full time and onsite.