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Remote Medical Director, Utilization & Appeals; Medicare

Remote / Online - Candidates ideally in
Honolulu, Honolulu County, Hawaii, 96814, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Consultant
Salary/Wage Range or Industry Benchmark: 223800 - 313100 USD Yearly USD 223800.00 313100.00 YEAR
Job Description & How to Apply Below
Position: Remote Medical Director, Utilization & Appeals (Medicare)
A healthcare company is seeking a Medical Director to utilize their medical expertise for determining patient services authorization. Responsibilities include medical evaluations, compliance with regulations, and collaboration with healthcare teams while focusing on Medicare and Medicaid populations. Candidates must hold an MD or DO degree and possess strong communication and analytical skills. This remote position requires occasional travel for training, offers competitive pay between $223,800 - $313,100 annually, and supports workplace wellness with comprehensive benefits.
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