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Humana

Medical Director - PI, Claims

United StatesFull timePosted 2d agoStill open. Checked yesterday

About the job

Become a part of our caring community The Medical Director uses their medical background, experience, and judgement. You will make determinations whether they should authorize requested services, request level of care, and requested site of service at the Initial or Appeals/Disputes level. All work occurs within a context of regulatory compliance. Diverse resources assist work, including national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and…

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