Humana Inc is seeking a Medical Director National OP Medicare in Charleston, West Virginia. The role involves reviewing preauthorization requests, making determinations using clinical expertise, and ensuring compliance with Medicare requirements. Responsibilities include conducting medical necessity reviews, prioritizing case workloads, and collaborating with healthcare professionals. A commitment to quality and effective communication is essential, along with at least 5 years of clinical experience. #J-18808-Ljbffr
Medicare Medical Director — Utilization & Care Oversight
HUMANA INC
charleston, charleston
Published 4 days ago
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