Enable job alerts via email!

Physical Medicine and Rehabilitation Medical Director

Palmetto GBA

Columbia (SC)

Hybrid

USD 206,000 - 414,000

Full time

8 days ago

Boost your interview chances

Create a job specific, tailored resume for higher success rate.

Job summary

Ein innovatives Unternehmen sucht einen erfahrenen medizinischen Direktor für die Abteilung für physikalische Medizin und Rehabilitation. In dieser Schlüsselrolle bieten Sie administrative Aufsicht über das medizinische Personal, analysieren medizinische Überprüfungsdaten und entwickeln neue medizinische Richtlinien. Diese Position erfordert umfangreiche Erfahrung in der Patientenversorgung sowie hervorragende Kommunikations- und Führungsfähigkeiten. Sie werden auch als Ressource für Anbieter und internes Personal fungieren und die Beziehungen zur medizinischen Gemeinschaft stärken. Wenn Sie leidenschaftlich daran interessiert sind, die medizinische Versorgung zu verbessern und innovative Lösungen zu finden, ist dies die perfekte Gelegenheit für Sie.

Benefits

Gesundheits-, Zahn- und Sehversicherung
401(k) mit Unternehmensbeitrag
Lebensversicherung
PTO und Bildungsunterstützung
Vor-Ort-Annehmlichkeiten und nationale Rabatte

Qualifications

  • Mindestens 5 Jahre Erfahrung in der direkten Patientenversorgung.
  • Aktive medizinische Lizenz und Facharztanerkennung erforderlich.

Responsibilities

  • Überwachung medizinischer und regulatorischer Angelegenheiten.
  • Entwicklung und Aktualisierung medizinischer Richtlinien.

Skills

Kommunikationsfähigkeiten
Organisationsfähigkeiten
Führungsfähigkeiten
Verhandlungsfähigkeiten
Kenntnis medizinischer Überprüfungstechniken

Education

Doktorat in einem verwandten Bereich

Tools

Microsoft Office

Job description

Physical Medicine and Rehabilitation Medical Director

Join to apply for the Physical Medicine and Rehabilitation Medical Director role at Palmetto GBA.

Position Overview

As a member of the senior management team, the Medical Director provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a resource to providers and internal staff on medical policies. The role may also involve writing and revising medical policies.

Location & Logistics

Location: Onsite at our GPC location in Columbia, SC, or Remote. Full-time (40 hours/week), Monday-Friday, during normal business hours (8:00 AM - 5:00 PM).

Key Responsibilities
  1. Support operations through case review on medical and regulatory matters.
  2. Develop claim adjudication criteria requiring medical judgment.
  3. Educate staff and medical community on medical policies and programs.
  4. Develop and update medical policies in consultation with regulatory and medical experts.
  5. Build relationships with the medical community and serve as liaison.
  6. Review practice pattern analysis and utilization data.
  7. Research new or controversial medical procedures and technology.
Qualifications
  • Doctorate in a related field.
  • At least 5 years post-graduate experience in direct patient care.
  • Proficiency in Microsoft Office.
  • Excellent communication, organizational, and customer service skills.
  • Good judgment, negotiation, and leadership abilities.
  • Knowledge of medical review techniques.
  • Active medical license and board certification in a recognized specialty.
Preferred Qualifications
  • Board certification in Physical Medicine and Rehabilitation (strongly preferred).
  • Experience in health insurance industry and inpatient rehabilitation.
  • Knowledge of Medicare policies.
Benefits
  • Health, dental, and vision coverage.
  • 401(k) with company match.
  • Life insurance, PTO, and educational assistance.
  • On-site amenities and national discounts.
Additional Information

Salary range: $206,011 - $413,523, depending on experience and location.

We are an equal opportunity employer committed to diversity and inclusion. Reasonable accommodations are available for individuals with disabilities or religious needs.

Get your free, confidential resume review.
or drag and drop a PDF, DOC, DOCX, ODT, or PAGES file up to 5MB.

Similar jobs

Physical Medicine and Rehabilitation Medical Director

BlueCross BlueShield of South Carolina

Columbia

Remote

USD 206,000 - 414,000

7 days ago
Be an early applicant

Remote Medical Director - South Carolina

Cenetene Corporation

Columbia

Remote

USD 221,000 - 421,000

3 days ago
Be an early applicant

PM&R Medical Director – Inpatient Rehab | Columbia, SC

Healthwaze

Columbia

On-site

USD 200,000 - 300,000

30+ days ago

Clinical Research Medical Director, Endocrinology/Obesity/Diabetes, US - Remote

Initial Therapeutics, Inc.

Washington

Remote

USD 261,000 - 330,000

Today
Be an early applicant

Medical Director Early Development Cardio-metabolic, US - Remote

Initial Therapeutics, Inc.

Washington

Remote

USD 270,000 - 317,000

Yesterday
Be an early applicant

Medical Director - Medical Oncology - eviCore - Remote

Cigna

Bloomfield

Remote

USD 203,000 - 339,000

3 days ago
Be an early applicant

Medical Director - Gastroenterology- Evicore by Evernorth- Remote

Cigna

Bloomfield

Remote

USD 203,000 - 339,000

3 days ago
Be an early applicant

Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote

Cigna

Bloomfield

Remote

USD 203,000 - 339,000

3 days ago
Be an early applicant

Clinical Research Medical Director, Endocrinology/Obesity/Diabetes, US - Remote

Amgen

Washington

Remote

USD 261,000 - 330,000

6 days ago
Be an early applicant