Medical Director, Medical Management
Highmark Health
About this role
A physician role within Highmark’s utilization management team responsible for reviewing escalated clinical cases and applying medical policy criteria to determine medical necessity. The position serves as the physician member of multidisciplinary case and disease management teams and advises on high-risk cases. The incumbent ensures compliance with regulatory and accreditation standards and may support special projects to improve member care.
Skills
Qualifications
About Highmark Health
highmarkhealth.orgA national health and wellness organization as well as the second largest integrated delivery and financing system in America.
Recent company news
PR NewswireHighmark Health Appoints Karen Hanlon President
Oct 8, 2025
WPXIHighmark Health employee charged with contaminating co-worker’s mug with bodily fluid
1 month ago
Modern HealthcareAI-powered coding, high utilization drag down Highmark earnings
Dec 15, 2025
Healthcare DiveHighmark Health names Karen Hanlon president
Oct 9, 2025
Pittsburgh Post-GazetteHighmark Health names Karen Hanlon as its new president
Oct 8, 2025
About Highmark Health
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for Highmark Health.
Salary
$170k – $353k
per year
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