Medical Director, Medicare Grievances
Humana(4 days ago)
About this role
Humana is seeking a Corporate Medical Director to oversee medical review and interpretation of health claims, ensuring compliance and quality in healthcare services. The role focuses on complex problem solving and independent decision-making within the healthcare and insurance industry, supporting consumer health and organizational goals.
Required Skills
- MedicalManagement
- HealthcareCompliance
- UtilizationManagement
- DischargePlanning
- HealthInsurance
- ClinicalExperience
- MedicalInterpretation
- TeamLeadership
- PatientCare
- QualityManagement
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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