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Remote Medical Director, Utilization & Appeals; Medicare

Remote / Online - Candidates ideally in
Montpelier, Washington County, Vermont, 05604, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-26
Job specializations:
  • Healthcare
    Healthcare Consultant, Healthcare Administration, Healthcare Management, Chief Medical Officer
Job Description & How to Apply Below
Position: Remote Medical Director, Utilization & Appeals (Medicare)
A leading healthcare provider seeks a Medical Director to oversee utilization management and ensure compliance with national guidelines. The ideal candidate will possess an MD or DO, with a minimum of 5 years in clinical practice, and have excellent communication skills. Responsibilities include conducting medical determinations and engaging with healthcare teams. This remote position offers competitive compensation and comprehensive benefits.

Travel may be required occasionally for meetings.
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