Medical Director - Southeast Medicaid
Humana(1 day ago)
About this role
Humana is seeking a Medical Director to oversee clinical review processes, make determinations on healthcare services, and support regulatory compliance within managed care. The role involves analyzing complex clinical data, collaborating with healthcare providers, and ensuring quality standards are met across Medicaid and other health programs.
Required Skills
- Clinical Review
- Regulatory Compliance
- CMS Policies
- Utilization Management
- Population Health
- Medical Interpretation
- Case Management
- Clinical Standards
- Medicaid
- Post-Acute Care
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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