Remote Medical Director — Medicare Utilization & ComplianceHumana Inc • Honolulu, HI, United States
Remote Medical Director — Medicare Utilization & Compliance
Humana Inc • Honolulu, HI, United States
8 hours ago
Job type
- Full-time
- Remote
Job description
A leading health insurance organization is seeking a Medical Director to oversee clinical decision-making and ensure compliance with national guidelines and policies. Ideal candidates will possess an MD or DO degree and have significant experience in clinical care, particularly with Medicare populations. This remote role offers competitive compensation ranging from $223,800 to $313,100, along with comprehensive benefits and the potential for bonus incentives.
#J-18808-Ljbffr
Create a job alert for this search
Medical Director • Honolulu, HI, United States
Related jobs
VCA West Creek Animal Hospital.You’ll quickly discover that you’re well supported by world-class medicine, technology, facilities, and a talented team.
You’ll be empowered to do your best work with ...Show more
Ask how you can make up to $1500 in bonuses! .We hire all care levels from Nurse Aides without a CNA or schooling to Certified Caregivers with extensive experience.
We look forward to having yo...Show more
A healthcare organization in Honolulu is seeking a physician to join a multidisciplinary team focused on utilization management.
Responsibilities include reviewing escalated cases and ensuring compl...Show more If you have the heart for helping people, Wilson Care Group is looking for individuals that we can trust with our own kupuna! We have care opportunities island wide for both RN or LPN pos...Show more A health services organization in Honolulu is seeking a Medical Director to review medical records and make determinations on service authorizations while ensuring compliance with policies and guid...Show more Become a part of our caring community and help us put health first.The Medical Director relies on medical background and reviews preauthorization requests for services.
The Medical Director work ass...Show more 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 se...Show more 
Join us as a Medical Director at VCA Gentle Vets Animal Hospital and you’ll quickly discover that you’re well supported by world-class medicine, technology, facilities and a talented team.You’ll be...Show more Earn a living, build your resume and support your community all at the same time, call our recruiters for more information or apply online today!.
Do you have little to no professional experience, b...Show more A prominent healthcare company in Honolulu is seeking a Medical Director.This role involves reviewing preauthorization requests and making complex clinical determinations.Candidates must possess an...Show more 
A healthcare organization is seeking a Medical Director to oversee clinical coverage and medical claims reviews.This role emphasizes collaboration with healthcare providers to ensure high-quality c...Show more Become a part of our caring community and help us put health first.The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medica...Show more Become a part of our caring community and help us put health first.The Medical Director relies on medical background and reviews health claims.
The Medical Director work assignments involve moderate...Show more Ask how you can make up to $1500 in bonuses! .We hire all care levels from Nurse Aides without a CNA or schooling to Certified Caregivers with extensive experience.
We look forward to having yo...Show more 
California, US residents click here (https : / / www.UNITHER%20Applicant%20Notice%20-%20%2812-22-23%29%20Final%202.The job details are as follows : .
We are the first publicly-traded biotech or pharmaceut...Show more Become a part of our caring community and help us put health first.Become a part of our caring community and help us put health first.
The Medical Director actively uses their medical background, ex...Show more 
The Hawai‘i Pacific Health Research Institute (HPHRI) is dedicated to expanding our knowledge and investigation of the most advanced methods of health prevention in Hawai‘i.HPHRI researchers conduc...Show more Earn a living, build your resume and support your community all at the same time, call our recruiters for more information or apply online today!.
Do you have little to no professional experience, b...Show more
Medical Director
New Frontier Animal Medical Center • Honolulu, HI, United States
Full-time
Last updated: 1 day ago • Promoted
Home Health Aide - Wilson Care Group
Wilson Care Group • North Shore, Hawaii
Full-time
Quick Apply
Last updated: 30+ days ago • Promoted
Medical Director, Utilization & Case Management
Highmark Health • Honolulu, HI, United States
Full-time
Last updated: 1 day ago • Promoted
LPN - Weekly Pay
Wilson Care Group • North Shore, Hawaii
Full-time
Quick Apply
Last updated: 30+ days ago • Promoted
Medicare Utilization Medical Director
Humana Inc • Honolulu, HI, United States
Full-time
Last updated: 1 day ago • Promoted
Medical Director, Nat’l OP Medicare
Humana Inc • Honolulu, HI, United States
Full-time
Last updated: 1 day ago • Promoted
Medical Director - Nat'l IP UM Team
Humana Inc • Honolulu, HI, United States
Full-time
Last updated: 1 day ago • Promoted
Medical Director
VCA Animal Hospitals • Honolulu, HI, United States
Full-time
Last updated: 1 day ago • Promoted
Home Health Aide - Limited Experience Necessary
Wilson Care Group • North Shore, Hawaii
Full-time
Quick Apply
Last updated: 30+ days ago • Promoted
Remote Medical Director : Utilization & Care Leadership
Humana Inc • Honolulu, HI, United States
Remote
Full-time
Last updated: 1 day ago • Promoted
Medical Director — Clinical Coverage & Advocacy (Remote)
Optum • Honolulu, HI, United States
Remote
Full-time
Last updated: 4 days ago • Promoted
Medical Director - OneHome
Humana Inc • Honolulu, HI, United States
Full-time
Last updated: 30+ days ago • Promoted
Medical Director – Nat’l UM IP (4x10 hr)
Humana Inc • Honolulu, HI, United States
Full-time
Last updated: 1 day ago • Promoted
Home Health Aide
Wilson Care Group • Waianae, Hawaii
Full-time
Quick Apply
Last updated: 30+ days ago • Promoted
Senior Director, Corporate Compliance, Risk Management (Remote)
United Therapeutics • Honolulu, HI, United States
Remote
Full-time
Last updated: 1 day ago • Promoted
Medical Director - Nat'l UM Team 1wknd / mo
Humana Inc • Honolulu, HI, United States
Full-time
Last updated: 8 hours ago • Promoted • New!
Director - Clinical Trials
Hawaii Pacific Health • Honolulu, HI, United States
Full-time
Last updated: 8 days ago • Promoted
Limited Experience Necessary - Home Health Aide (Wilson Care Group)
Wilson Care Group • North Shore, Hawaii
Full-time
Quick Apply
Last updated: 30+ days ago • Promoted