Grievances and Appeals Corporate Medical Director
Humana(19 days ago)
About this role
The Corporate Medical Director provides clinical oversight, interpreting and evaluating healthcare services for compliance with policies and standards. They advise leadership on strategic matters, exercising independent judgment on complex clinical issues, to enhance healthcare quality and efficiency.
Required Skills
- Medical Judgment
- Clinical Interpretation
- Healthcare Management
- Quality Assurance
- Discharge Planning
- Utilization Management
- Provider Relations
- Health Insurance
- Medicare
- Medicaid
Qualifications
- MD or DO degree
- Board Certified in an ABMS Medical Specialty
- 2+ years project leadership experience
- Current unrestricted medical license
- 5 years clinical experience post-residency
About Humana
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