Humana Inc. seeks a Medical Director to oversee Medicare drug appeals (Part D & B). You will apply broad clinical expertise to review complex cases, using Medicare rules, Humana policies, and medical necessity to determine coverage decisions.
This remote, full-time role requires collaboration with clinicians, cross-functional teams, and participation in hearings or CMS audits. You will help operationalize Medicare Part D and MA requirements in daily work, ensuring compliant, value-based care for
#J-18808-LjbffrRemote Medicare Appeals Director in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.