Medical Director--Claims Management
Humana
About this role
The Medical Director uses clinical expertise and judgment to adjudicate medical service requests at the appeals/disputes level, ensuring determinations align with regulatory requirements and payer policies. The role centers on applying Medicare, Medicaid, and Medicare Advantage frameworks and clinical guidelines to support appropriate levels and sites of care. This is a full-time remote position with occasional travel for training or meetings.
Skills
Qualifications
About Humana
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About Humana
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
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View leadership team, funding history,
and employee contacts for Humana.
Salary
$224k – $313k
per year
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