Physician / Administration / Utah / Permanent / Medical Director, Medical Management
Highmark Health
Not Specified, UT, USA
Not Specified, UT, USA
- Healthcare
- Full-time
- Medical Director
- Utilization Management
- Medical Policy
This role involves a physician serving as a Medical Director overseeing utilization management to ensure medical treatments meet clinical standards. The incumbent reviews escalated cases using established medical policy criteria to determine treatment appropriateness. The position is permanent and based in Utah, focusing on medical management within a healthcare company.
Company : Highmark Inc. Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service.




