Health Care Service Corporation

Medical Director

Health Care Service Corporation$191K — $355K *
US-Anywhere
+ 5 other locationsRemote
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • M.D. or D.O. with an unrestricted physician license in the U.S.
  • Board Certified by an approved specialty board.
  • 5 years of clinical experience in a relevant field.
  • Strong analytical and communication skills.
  • Strategic thinking abilities.
  • Proficient in Microsoft Office and electronic documentation software.

Responsibilities

  • Conduct medical reviews for various policies and programs.
  • Engage with provider communities regarding assigned areas.
  • Analyze medical policies and their impacts on care delivery.
  • Provide strategic insight into managed care practices.
  • Document case reviews electronically using required software.

Benefits

  • Health and wellness benefits.
  • 401(k) savings plan and pension plan.
  • Paid time off and parental leave.
  • Disability insurance and supplemental life insurance.
  • Employee assistance program and paid holidays.
  • Tuition reimbursement and additional incentives.
Full Job Description
Job Summary


This 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

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 .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject 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.

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is the largest customer-owned health insurer in the United States. HCSC offers a wide variety of health insurance products and related services, through its operating divisions and subsidiaries in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, Illinois.
Learn more about Health Care Service Corporation
Size
24,000 employees
Industry
Founded
1936

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