Part-Time Weekend Medical Director (Remote) - Unlock Your Potential with Highmark Inc.

Join our dynamic team as a Part-Time Weekend Medical Director and take your career to the next level! As a key member of our physician team, you will play a vital role in ensuring that utilization management responsibilities are performed in accordance with the highest clinical standards. With a competitive salary range of $170,000 - $342,274 and a remote work setup, this opportunity offers the perfect blend of professional growth and work-life balance.

In this role, you will utilize your strong clinical expertise to review escalated cases, determine medical necessity, and participate in multidisciplinary teams to drive exceptional patient care. Your exceptional communication skills, critical thinking, and collaboration abilities will enable you to thrive in this position. If you are a board-certified physician with a passion for delivering high-quality care and making a meaningful impact, we encourage you to apply.

Key Responsibilities

• Conduct electronic reviews of escalated cases against medical policy criteria to determine medical necessity and appropriateness
• Participate in multidisciplinary teams to advise on high-risk cases and drive exceptional patient care
• Develop and implement protocols and guidelines to ensure consistency in the review process
• Collaborate with cross-functional teams to drive project initiatives and improve member care

Requirements

• Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree
• 5+ years of clinical experience in direct patient care
• Board certification in a specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association
• Active medical state licensure

What We Offer

• Competitive salary range of $170,000 - $342,274
• Remote work setup with flexible scheduling
• Opportunities for professional growth and development
• Collaborative and dynamic work environment

How to Apply

If you are a motivated and compassionate physician looking to make a difference, please submit your application to join our team as a Part-Time Weekend Medical Director. We are an equal opportunity employer committed to diversity and inclusion.