Medical Director, Medical Management
Highmark Health(3 months ago)
About this role
A physician role at Highmark Inc. within the medical management team focused on utilization review and clinical oversight for health plan members. The position requires an MD or DO with board certification and active state licensure and supports multidisciplinary care and quality/compliance initiatives. The role operates in a regulated health insurance environment and may contribute to protocol development and special projects to improve member care.
Required Skills
- Critical Thinking
- Case Management
- Customer Service
- Communication
- Collaboration
- Listening
- Telephone
- Computer Skills
- Clinical Software
- Managed Care
Qualifications
- MD
- DO
- Board Certification
- Active Medical State License
- MBA
- MPH
About Highmark Health
highmarkhealth.orgA national health and wellness organization as well as the second largest integrated delivery and financing system in America.
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