A job with Highmark Health in Providence, Providence County, Rhode Island. The source did not publish a closing date.
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About this job
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. Depending on the nature of the case, telephonic peer to peer discussions may be requir…
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Details on this page reflect the source posting as of Sep 15, 2026. Closing dates and salary ranges can change without notice — the official listing is always authoritative. How our coverage works.
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