MolDX Medical Director

BlueCross BlueShield of South Carolina   •  

Virtual / Travel

Industry: Accounting, Finance & Insurance

  •  

5 - 7 years

Posted 115 days ago

16873BR
    
Position Summary     

    Position can be worked remotely with one week a month on-site in Columbia, SC.
    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.
    May also write and revise medical policies.

Required Education     


    Medical Doctor (MD) with current active license to practice medicine.

Required Work Experience     


    Five years of post-graduate experience in direct patient care.

    AP and CP Board-certified pathologist with experience in CPT.

    Previous experience involving the PFS, CLFS, and Molecular Pathology coding and reimbursement systems.

    Experience in management with commitment to maintain data systems on a daily basis.

Required Skills and Abilities     


    Excellent oral and written communication skills.

    Excellent customer service, organizational and presentation skills.

    Good judgment skills.

    Proficiency in spelling, punctuation and grammar.

    Ability to persuade, negotiate with and influence others.

    Ability to work as a team member as well as a leader.

    Knowledge of medical and utilization review techniques.

    Microsoft Office skills.

    Active state medical license and current board certification in a recognized specialty.