Physician / Administration / Delaware / Permanent / Medical Director
Highmark Health
Wyoming, Delaware, US
About the Role
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.
Required Skills
utilization management
medical necessity
case review
medical policy
physician leadership
Keywords
physician
administration
delaware
medical director
utilization management
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