Market Medical Director

🕒 May 22

🤠 Texas – Remote

🤠 Texas – Remote

💵 $191.5k - $355.6k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.

📋 Description

• drive strategy and ensure clinical excellence in clinical programs, Stars, risk adjustment and total cost of care • strengthen partnerships with providers and health systems in the Market • work closely with Independent Physician Associations (IPA), health systems, aligned managed service organizations (MSO) and independent practices

🎯 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 • 3 years Managed Care experience preferred but not required • Experience with case management preferred and familiarity with fraud, waste, and abuse reviews a plus • Strong computer skills and technical independence • Data science background or Artificial Intelligence knowledge is a plus.

🏖️ Benefits

• 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