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Medical Director

$191.5k - $355.6k

Health Care Service Corp.

Job Summary Responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with hte provider communities for assigned areas. Responsibilities Oversee medical review processes and manage interactions with provider communities within assigned areas. Job Requirements Physician (\"M.D. or D.O.\") with a current and unrestricted 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. Five years of clinical experience. Analytical and communication skills. Strategic thinking skills. Proficiency in computer skills, including Microsoft Office and Lotus Notes, for electronic documentation of case reviews. Preferred Requirements Three years of Managed Care experience. Three years of Utilization Management experience. Specialty in OBGYN or Physical Medicine and Rehabilitation (PM&R). Work‑from‑home position with rotating weekend/holiday calls. Compensation Base Pay Range: $191,500.00 – $355,600.00. Compensation varies based on skills, experience, and location. The role aligns with an annual incentive bonus plan subject to terms and conditions. Benefits 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, and other incentives. Equal Opportunity Employment HCSC is 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. #J-18808-Ljbffr Health Care Service Corp.

Vacancy posted 12 hours ago
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