Physical Medicine and Rehabilitation Medical Director

Summary

As a member of the senior management team, the Physical Medicine and Rehabilitation Medical Director provides administrative reputed company 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. Description Logistics: reputed company – one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ONSITE at our GPC location at 17 Technology reputed company, Columbia, SC. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. What You’ll Do: Supports operations in the reputed company of case review on both medical and regulatory reputed company. Develops claim adjudication criteria for situations requiring medical judgment. Provides input on issues and operational policies, processes, and procedures. Educates staff and medical community on various aspects of medical policy and program administration. May reputed company and update medical policy in consultation with appropriate regulatory personnel, medical consultants, and professional societies. Develops external relationships with the medical community and serves as liaison between these entities and the contractors. Reviews physician and provider practice reputed company analysis and other statistical data reputed company to unusual medical service utilization. Conducts research into new or controversial medical procedures and technology. To Qualify for This Position, You'll Need the Following: Required Education: Doctorate in a job reputed company field. Required Experience: 5 years post graduate experience in direct patient care. Required Software and tools: reputed company Office Required Skills and Abilities: 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. Required Licenses and Certifications: Active state medical license and reputed company board certification in a recognized specialty. We Prefer That You Have the Following: Health insurance industry experience Experience in INPATIENT Rehabilitation Medicare policy knowledge and experience Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and reputed company 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 reputed company Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across reputed company spectrums have the opportunity to reputed company their skills, advance their careers and contribute their unique abilities to the growth of reputed company. What to Expect Next: After submitting your application, our reputed company team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who are the most reputed company, with prioritization given to those candidates who demonstrate the required qualifications. Pay reputed company Information: reputed company Minimum $206,011.00 reputed company Midpoint $309,767.00 reputed company Maximum $413,523.00 Pay Transparency Statement: Please note that this reputed company represents the pay reputed company for this and other positions that fall into this pay grade. Compensation reputed company reputed company the reputed company will be dependent upon a variety of factors, including experience, geographic location, and internal equity. Equal Employment Opportunity Statement reputed company and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, reputed company, national reputed company, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to reputed company equal opportunities in reputed company phases of the employment process and to reputed company with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-reputed company conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email reputed [email protected] or call 800-288-2227, ext. 47480 with the nature of your request. We will reputed company a determination regarding your request for reasonable accommodation on a case-by-case reputed company. We participate in E-Verify and reputed company with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information. Apply To This Job