Remote Medical Director: Appeals & Policy Oversight

Enterprise HCM; Chicago (IL); On-site; USD 192,000 - 356,000; Full time

Job summary

HCSC is seeking a physician to manage assigned medical policies and programs, performing reviews and engaging with provider communities. This remote role offers flexibility and the chance to contribute to a wide range of clinical areas.

Candidates must be an MD or DO with current US license, board certification, and at least five years of clinical experience; preferred specialties include cardiology, gastroenterology, rheumatology, dermatology, hematology, oncology and internal medicine.

Qualifications

• Physician with current and unrestricted license in a US state or territory.
• Board certification in a specialty approved by ABMS/NBPM/ABOS.
• 5 years of clinical experience.

Responsibilities

• Oversee assigned medical policies and programs.
• Perform medical reviews and interact with provider communities.

Skills

Analytical skills

Communication skills

Strategic thinking

Computer skills

Education

MD/DO degree

Licensed physician in US

Tools

Microsoft Office

Lotus Notes

Job description

HCSC is seeking a physician to manage assigned medical policies and programs, performing reviews and engaging with provider communities. This remote role offers flexibility and the chance to contribute to a wide range of clinical areas.

Candidates must be an MD or DO with current US license, board certification, and at least five years of clinical experience; preferred specialties include cardiology, gastroenterology, rheumatology, dermatology, hematology, oncology and internal medicine.