Job SummaryThis position is responsible for assigned aspects of medical policies and programs. Performs medical 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
- Current board certification through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) in General Surgery
This is a remote work from home position
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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.
Base Pay Range$191,500.00 - $355,600.00
Exact compensation may vary based on skills, experience, and location.
