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Healthcare Director

1 week ago


Providence, Rhode Island, United States Humana Full time

As a Medical Director at Humana, you will be responsible for providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. All work will occur within a context of regulatory compliance, assisted by diverse resources including national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise.