Medical Director, Medicare Grievances
Humana(24 days ago)
About this role
A Corporate Medical Director at Humana is a licensed physician role providing medical oversight and interpretation within the company’s healthcare operations, primarily focused on review and medical decision-making related to health claims. The position supports Humana’s mission to put health first and is structured as a full-time remote role with a standard weekday schedule and occasional weekend or travel requirements.
Required Skills
- Medical Interpretation
- Claims Review
- Utilization Management
- Quality Management
- Discharge Planning
- Clinical Experience
- Communication
- Licensing
Qualifications
- MD or DO
- Board Certified (ABMS Medical Specialty)
- Unrestricted State Medical License
About Humana
humana.comExplore Medicare plans and health insurance coverage to fit your lifestyle. Turning 65 or recently qualified? Sign up for Medicare coverage! Start with healthy, start with Humana.
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