Remote Medical Director — Policy & Care Strategy

HCSC; Chicago (IL); Remote; USD 192,000 - 356,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a Medical Policy professional to manage remote responsibilities across assigned areas. The role involves medical reviews and collaboration with provider communities to discuss cases.

Required are an MD or DO license, board certification, and at least 5 years of clinical experience, with strong analytical, communication, and strategic thinking. Proficiency in Microsoft Office and Lotus Notes is expected.

Qualifications

• 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

Responsibilities

• This position is responsible for assigned aspects of medical policies and programs.
• Performs medical reviews and interacts with the provider communities for assigned areas.

Skills

Analytical thinking

Communication skills

Strategic thinking

Education

MD/DO license

Board Certification

5 years clinical experience

Tools

Microsoft Office

Lotus Notes

Job description

Health Care Service Corporation (HCSC) is seeking a Medical Policy professional to manage remote responsibilities across assigned areas. The role involves medical reviews and collaboration with provider communities to discuss cases.

Required are an MD or DO license, board certification, and at least 5 years of clinical experience, with strong analytical, communication, and strategic thinking. Proficiency in Microsoft Office and Lotus Notes is expected.