Physician / Administration / Utah / Permanent / Medical Director
Highmark Health
Not Specified, UT, USA
Not Specified, UT, USA
- Healthcare
- Full-time
- Medical Director
- Utilization Management
- Physician Administration
The Medical Director oversees utilization management to ensure medical treatments meet clinical standards and policies. They review escalated cases to evaluate the appropriateness and medical necessity of requested services. The role requires collaboration within a physician team to uphold high-quality patient care.
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.




