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Remote Medical Director, Claims & Utilization

Remote / Online - Candidates ideally in
Denver, Denver County, Colorado, 80285, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-26
Job specializations:
  • Doctor/Physician
    Healthcare Consultant, Medical Doctor, Emergency Medicine Physician
Job Description & How to Apply Below
A healthcare company is seeking a Medical Director to leverage medical expertise for service authorization and manage clinical scenarios. The ideal candidate will have an MD or DO degree, 5+ years of clinical experience, and a current board certification. Responsibilities include conducting Utilization Management, collaborating with healthcare teams, and ensuring compliance with national guidelines. This role is primarily remote but may require occasional travel for training and meetings.

Competitive salary and benefits offered.
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