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Medical Director - North Central Medicaid Markets
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- Become a part of our caring community and help us put health first
- The clinical scenarios arise from outpatient, inpatient or post-acute care environments.
- Other duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and reviews for DME, genetic testing, etc.
- The Medical Director may occasionally speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management
- 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of a Medicaid population (TANF and expansion populations).
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