Chief Medical Policy & Payment Integrity Leader (Hybrid)

Enterprise HCM; Richardson (TX); Hybride; USD 215 000 - 399 000; Plein temps

Résumé du poste

HCSC is seeking an experienced Medical Policy Lead to manage assigned policy areas, perform medical reviews, and engage with provider communities. The role requires an MD or DO with active license and board certification, plus extensive clinical and managed care experience.

The hybrid role offers in-office collaboration and remote work, with a compensation range of $214,800 to $398,900 depending on skills and location. Join a purpose-driven organization investing in professional development.

Qualifications

• MD or DO with active U.S. license
• Board certification by ABMS / NBPM? or equivalent
• 5+ years clinical care experience
• 5+ years managed care experience
• Knowledge of medical techniques, reimbursement, and benefits
• Leadership and strategic thinking abilities
• Strong verbal and written communication skills
• Experience guiding teams to outcomes and ROI analyses

Responsabilités

• Responsible for assigned medical policy areas and programs
• Perform medical reviews and interact with provider communities

Connaissances

MD/DO license

Board Certification

Clinical experience (5+ yrs)

Managed care experience (5+ yrs)

Medical knowledge

Leadership skills

Strategic decision making

Communication skills

Budgeting experience

ROI analyses

Outils

Microsoft Office

Lotus Notes

Description du poste

HCSC is seeking an experienced Medical Policy Lead to manage assigned policy areas, perform medical reviews, and engage with provider communities. The role requires an MD or DO with active license and board certification, plus extensive clinical and managed care experience.

The hybrid role offers in-office collaboration and remote work, with a compensation range of $214,800 to $398,900 depending on skills and location. Join a purpose-driven organization investing in professional development.