Medical Director, Utilization & Case Management
Listed on 2026-10-13
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Doctor/Physician
Medical Doctor, Healthcare Consultant
Highmark Health seeks a physician reviewer to perform utilization management within a multidisciplinary CMDM team. You will assess escalated cases against policy criteria and participate in peer discussions when needed to determine medical necessity and appropriateness.
You will contribute to protocol development, engage in special projects, and ensure compliance with NCQA, URAC, CMS, DOH, and DOL regulations while maintaining high standards of patient care.
Our organisation is growing, and we are hiring a Medical Director, Utilization & Case Management in Austin, TX, United States.
Consider building your career as a Medical Director, Utilization & Case Management at Highmark Health.
The Medical Director, Utilization & Case Management position in the Bio & Pharmacology & Health field is open for applications.
We have an opening for a Medical Director, Utilization & Case Management in Austin, TX, United States within Bio & Pharmacology & Health.
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