• Medical Director - Medicaid N. Central

    Humana (Lansing, MI)
    …possible participation in care management. The clinical scenarios arise from outpatient , inpatient or post-acute care environments. The Medical Director will have ... but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes...which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of a Medicaid… more
    Humana (10/25/25)
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  • Medical Director-Payment Integrity

    Humana (Lansing, MI)
    …scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of doing peer-to-peer discussions with an external ... provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and… more
    Humana (12/11/25)
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  • Medical Director - IP Claims Management

    Humana (Lansing, MI)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... outpatient services and equipment, within their scope. The Medical...or organizational committees. \#physiciancareers Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (12/11/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Lansing, MI)
    …resolution skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... on project teams or organizational committees. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
    CenterWell (11/06/25)
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