Physician / Administration / Delaware / Permanent / Medical Director, Medical Management

healthcare diagnosing or treating practitioners all other

offices of physicians specialty except psychiatric and substance abuse hospitals administration of human resource programs professional and commercial equipment and supplies merchant wholesalers executive legislative and other general government support

Kent County, DE

March 25th, 2026

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.

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