• Medical Director - OP Claims Mgmt

    Humana (Raleigh, NC)
    …insurance. + Experience with national guidelines such as MCG(R) or InterQual + Internal Medicine , Family Practice, Geriatrics, Hospitalist , Emergency ... clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors… more
    Humana (11/24/25)
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  • Medical Director - Medicaid N. Central

    Humana (Raleigh, NC)
    …with national guidelines such as MCG(R) or InterQual + Internal Medicine , Family Practice, Geriatrics, Pediatrics, Hospitalist , Emergency Medicine ... state policies, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will… more
    Humana (10/25/25)
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