BlueCross BlueShield of South Carolina

South Carolina’s largest and oldest health insurance company

Physical Medicine and Rehabilitation Medical Director

Medical DirectorMedical DirectorFull TimeRemoteTeam 10,001+Since 1946H1B No SponsorCompany SiteLinkedIn

Location

North Carolina + 3 moreAll locations: North Carolina, South Carolina, Utah, Vermont

Posted

12 days ago

Salary

$206.0K - $413.5K / year

Postgraduate Degree5 yrs expEnglish

Job Description

• Provides administrative oversight to medical staff • Analyzes medical review utilization data • Researches new medical procedures or technology • Acts as a resource to providers and internal staff on issues concerning medical policies • Develops claim adjudication criteria for situations requiring medical judgment • Educates staff and medical community on various aspects of medical policy and program administration • Develops external relationships with the medical community and serves as liaison between these entities and contractors

Job Requirements

  • Doctorate in a job related field
  • 5 years post graduate experience in direct patient care
  • Microsoft Office proficiency
  • Excellent verbal and written communication skills
  • Excellent customer service, organizational, and presentation skills
  • Good judgment skills
  • Proficiency in spelling, punctuation, and grammar
  • Ability to persuade, negotiate, or influence others
  • Ability to work as a team member as well as a leader
  • Knowledge of medical and utilization review techniques
  • Active state medical license and current board certification in a recognized specialty

Benefits

  • Subsidized health plans, dental and vision coverage
  • 401k retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • On-site cafeterias and fitness centers in major locations
  • Education Assistance
  • Service Recognition
  • National discounts to movies, theaters, zoos, theme parks and more

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