Medical Director, Utilization & Care Management
Listed on 2026-10-16
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Doctor/Physician
Medical Doctor, Healthcare Consultant, Internal Medicine Physician, Chief Medical Officer / Medical Director
Highmark Inc. seeks a physician to join a multidisciplinary team to perform utilization management in accordance with clinical standards.
You will review escalated cases electronically using Medical Policy criteria to evaluate medical necessity and appropriateness, and may engage in telephonic peer-to-peer discussions as needed. The role requires MD or DO with active medical licensure and compliance with NCQA/URAC/CMS/DOSH guidelines, supporting high-risk case management and care improvement
Join us at Highmark Health as our next Medical Director, Utilization & Care Management in Phoenix, AZ, United States.
We are currently recruiting a Medical Director, Utilization & Care Management for our team in Phoenix, AZ, United States.
This is a strong opportunity to take on the Medical Director, Utilization & Care Management role at Highmark Health.
As a Medical Director, Utilization & Care Management, you will play an important part at Highmark Health in Phoenix, AZ, United States.
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