Remote Medical Director, Utilization & Appeals; Medicare
Remote / Online - Candidates ideally in
Bismarck, Burleigh County, North Dakota, 58502, USA
Listed on 2026-01-24
Bismarck, Burleigh County, North Dakota, 58502, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-01-24
Job specializations:
-
Doctor/Physician
Healthcare Consultant, Medical Doctor, Internal Medicine Physician
Job Description & How to Apply Below
A leading health insurance provider is seeking a Medical Director to manage care evaluations and ensure compliance with clinical standards and guidelines. You will interpret medical services, conduct utilization reviews, and collaborate with healthcare professionals while overseeing patient care quality. Ideal candidates have an MD or DO degree, 5+ years of clinical experience, and excellent communication skills. This position requires analytical thinking and conflict resolution abilities, offering a competitive salary and comprehensive benefits.
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