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Remote Medical Director, Claims & Utilization

Remote / Online - Candidates ideally in
Saint Paul, Ramsey County, Minnesota, 55199, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-26
Job specializations:
  • Doctor/Physician
    Healthcare Consultant, Medical Doctor
Job Description & How to Apply Below
A nationwide healthcare organization is seeking a dedicated Medical Director to lead medical determinations in accordance with national guidelines, supporting patient care. This role demands an MD or DO degree and requires over 5 years of direct clinical experience, preferably in inpatient settings or with Medicare populations. The position involves close collaboration with other healthcare professionals and performing Utilization Management to ensure compliance and quality of service.

Competitive salary and benefits are included, with opportunities for bonuses based on performance.
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