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Remote Medical Director, Claims & Utilization

Remote / Online - Candidates ideally in
Annapolis, Anne Arundel County, Maryland, 21403, 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 leading healthcare organization seeks a Medical Director to oversee clinical service authorizations and ensure compliance with national guidelines. Responsibilities include reviewing clinical records, engaging with external physicians for information, and managing utilization management processes. Required qualifications include an MD or DO degree, 5+ years in clinical patient care, current board certification, and excellent communication skills.

This role offers remote work flexibility along with a competitive salary and comprehensive benefits.
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