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Medicare Advantage Chief Medical Officer in Columbia, SC

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compensation:

$250K - $500K*

specialty:

Medicine, Healthcare Management

experience:

5 - 7 years

Job Description

As member of the senior management team, provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a resource to providers and internal staff on issues concerning medical policies. Will also write and revise Medicare policies and programs.

Description

30% Provides clinical direction and administrative oversight to the Medicare Advantage medical staff to include the UM, CM, DM, and pharmacy teams.

20% Accountable for clinical outcomes and collaborates with others to align and leverage resources. Responsible for providing clinical expertise and business direction to manage the total cost of care for customers, clients, providers, and the organization.

15% Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization.

15% Will act as an improvement cat

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Valid through: 2020-4-9

About BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina (BCBSSC) is an independent licensee of the Blue Cross and Blue Shield Association. BCBSSC serves 21.5 million people through private business and government contracts. BCBSSC has several subsidiaries, two of which are affiliates licensed with the Blue Cross and Blue Shield Association. Licensed subsidiaries include BlueCross BlueShield of South Carolina Foundation and BlueChoice HealthPlan. Non-licensed affiliates include Companion Captive Insurance Company, Companion Life, PGBA, LLC, Planned Administrators, Inc. (PAI) and TCC of South Carolina. BCBSSC began as the South Carolina Hospital Service Plan, later becoming BlueCross of South Carolina (BlueCross), when the General Assembly passed legislation bringing this group into existence. In the spring of 1947, the South Carolina Hospital Service Plan merged with the Hospital Benefit Association of Greenville, giving them a financial base. In 1971, BlueShield of South Carolina merged with BlueCross to form the current company.
Total Jobs:
55
Total Experts:
15
Average Pay:
$122,717
Total value of jobs:
$16,935,000
% Masters:
43%

BlueCross BlueShield of South Carolina Photos

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* Ladders Estimates

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