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Healthcare Leadership Position
2 weeks ago
Job Summary
The Medical Director plays a crucial role in overseeing the care received by members in an assigned market, population, or condition type. This individual conducts utilization management reviews, ensuring that services provided are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and contracts.
The ideal candidate will possess excellent verbal and written communication skills, as well as analytic and interpretation abilities. Experience participating in teams focusing on quality management, utilization management, case management, discharge planning, and home health or post-acute services is highly desirable.