Medical Director, Utilization & Care Management
Listed on 2026-10-13
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Doctor/Physician
Medical Doctor, Healthcare Consultant, Chief Medical Officer / Medical Director, Internal Medicine Physician
Highmark Inc. is seeking a physician to lead utilization management within a multidisciplinary team. You will review escalated cases, determine medical necessity, and participate in peer discussions when needed.
In addition to clinical review, you will contribute to policy development and act as a physician SME on projects, ensuring compliance with NCQA, URAC, CMS, and related regulations.
As a Medical Director, Utilization & Care Management, you will play an important part at Highmark Health in Dover, DE, United States.
We are looking to fill the Medical Director, Utilization & Care Management position at Highmark Health in Dover, DE, United States.
The Medical Director, Utilization & Care Management role at Highmark Health is now open for applications in Dover, DE, United States.
Join us at Highmark Health as our next Medical Director, Utilization & Care Management in Dover, DE, United States.
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