Physician / Administration / Delaware / Permanent / Medical Director - OP Claims Mgmt
Humana
Not Specified, DE, USA
Not Specified, DE, USA
- Healthcare
- Full-time
- Medical Director
- Claims Management
- Healthcare Administration
The Medical Director uses their medical expertise to evaluate and authorize healthcare services and levels of care for initial requests and appeals. They play a crucial role in managing outpatient claims and ensuring appropriate medical decisions within a healthcare organization. This position is based in Delaware and offers a permanent employment opportunity.
Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the Initial and Appeals/Disputes level.




