Medicaid Medical Director — Remote Utilization Leader
Remote / Online - Candidates ideally in
Columbia, Lexington County, South Carolina, 29228, USA
Listed on 2026-01-20
Columbia, Lexington County, South Carolina, 29228, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-01-20
Job specializations:
-
Healthcare
Healthcare Consultant, Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
A leading healthcare organization is seeking a Medical Director to ensure health claims compliance and provide clinical interpretation on service agreements. The ideal candidate should have a medical degree (MD/DO) and 5+ years of clinical patient care experience, ideally with Medicare populations. Responsibilities include utilization management of care received by members and engaging in grievance reviews. A commitment to collaboration within teams and excellent communication skills are essential.
The position is remote, with occasional travel required.
#J-18808-Ljbffr
To View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
Search for further Jobs Here:
×