Medical Director

HCSC Group; Northern (KY); Teletrabalho; USD 192 000 - 356 000; Tempo integral

Resumo da oferta

Health Care Service Corporation seeks a Medical Director for a remote, nationwide role. You will oversee assigned portions of medical policies and programs, perform medical appeals reviews, and collaborate with provider communities to improve policy effectiveness.

Candidates must be an MD/DO with a current US license, board certification, and at least five years of clinical experience. Strong analytical, communication, and strategic planning skills, plus proficiency in MS Office and Lotus Notes,

Qualificações

• MD/DO physician with current license in the United States.
• Board certification by a specialty board approved by ABMS/NBME or AOA is required.
• Minimum 5 years of clinical experience.
• Strong analytical and communication skills; strategic thinking.
• Proficiency with Microsoft Office and Lotus Notes for electronic case documentation.

Responsabilidades

• Responsible for assigned aspects of medical policies and programs.
• Perform medical appeals reviews and document findings.
• Interact with provider communities for assigned areas to support policy clarity and adherence.

Conhecimentos

Analytical skills

Communication skills

Strategic thinking

Clinical experience (5 years)

Formação académica

MD/DO

Ferramentas

Microsoft Office

Lotus Notes

Descrição da oferta de emprego

## Medical DirectorApply: Remote: National Remote: Full time: Posted Today: R0055677At 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**### This position is responsible for assigned aspects of medical policies and programs. Performs medical appeals 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**This is a remote role**### **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!**### **Pay Transparency Statement:**At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.This position may be performed remotely from anywhere within the continental United States, **excluding California, New York, Alaska, and Hawaii**.## HCSC Employment Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are 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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.# # **Base Pay Range**$191,500.00 - $355,600.00Exact compensation may vary based on skills, experience, and location.