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Medical Director

Remote: 
Full Remote
Contract: 
Full time
Salary: 
183 - 340K yearly
Experience: 
Senior (5-10 years)
Work from: 
United States

Offer summary

Qualifications:

Physician (M.D. or D.O) license, Board Certification by specialty board, 5 years of clinical experience, Proficiency in Microsoft Office and Lotus Notes.

Key responsabilities:

  • Perform medical reviews
  • Interact with provider communities
  • Manage medical policies and programs
Health Care Service Corporation logo
Health Care Service Corporation XLarge https://www.hcsc.com/
10001 Employees
About Health Care Service Corporation
Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is an Independent Licensee of the Blue Cross and Blue Shield Association. We are the largest customer-owned health insurer in the United States, serving more than 18.6 million members through our Plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs. Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry. As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.
See more Health Care Service Corporation offers

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

Job Summary
This Position Is Responsible For Assigned Aspects Of Medical Policies And Programs. Performs Medical Reviews And Interacts With The Provider Communities For Assigned Areas.

JOB REQUIREMENTS:.
* Physician (M.D. or D.O) with a current and unrestricted physician license in a state or territory of the United States
* Maintain Board Certification by a specialty board approved by the American Board of Medical Specialties, National Board of Physicians and Surgeons, or the Advisory Board of Osteopathic Specialists
* 5 years of clinical experience
* Analytical and communication skills
* Strategic thinking skills
* Proficiency in computer skills (including software applications such as Microsoft Office Product and Lotus Notes) needed for electronic documentation of case reviews

PREFERRED REQUIREMENTS:
* 3 years Managed Care experience

100% Remote based out of IL, TX, NM, MT, or OK

This role requires rotating weekends

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range
$183,100.00 - $340,100.00

Required profile

Experience

Level of experience: Senior (5-10 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Medical DirectionIBM NotesManaged CareHealth Policy DevelopmentClinical EvaluationClinical Experience

Other Skills

  • Computer Literacy
  • Microsoft Office
  • Verbal Communication Skills
  • Analytical Skills
  • Strategic Thinking
Are you interested?

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