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Healthcare Consultant Healthcare Management

Medicaid Medical Director — Remote Utilization Leader

Remote / Online - Candidates ideally in
Springfield, Sangamon County, Illinois, 62777, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-20
Job specializations:
  • Healthcare
    Healthcare Consultant, Healthcare Management
Job Description & How to Apply Below
A leading health insurance company is seeking a Medical Director to oversee clinical determinations and support care management. The ideal candidate will have an MD or DO degree, with over 5 years of clinical patient care experience, particularly with Medicare populations. Responsibilities include evaluating service requests, collaborating with healthcare teams, and ensuring compliance with clinical standards and regulations.

This role offers a competitive salary and is predominantly remote with occasional travel requirements.
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