Physical Medicine and Rehabilitation Medical Director

Job not on LinkedIn

🕒 August 4

🏢🏡 Columbia – Hybrid

💵 $206k - $413.5k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 23%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Palmetto GBA

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1965

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Palmetto GBA is one of the nation's largest providers of high-volume Medicare claims and transaction processing, contact center operations, and technical services for federal healthcare programs and commercial customers. The company serves as a Medicare Administrative Contractor (MAC) and supports enrollment, claims adjudication, provider and beneficiary services, specialized programs (e. g. , DMEPOS, Home Health & Hospice, Railroad Medicare), pricing and coding analysis, and third-party administrator functions. Headquartered in Columbia, South Carolina, Palmetto GBA operates across multiple Medicare jurisdictions and is part of the Celerian Group.

📋 Description

• Provides administrative oversight to the medical staff • Analyzes medical review utilization data • Researches new medical procedures and technology • Acts as a resource to providers and internal staff on medical policy issues • May write and revise medical policies • Supports operations through case review on medical and regulatory matters • Develops claim adjudication criteria requiring medical judgment • Provides input on operational policies, processes, and procedures • Educates staff and the medical community on medical policy and program administration • Develops and updates medical policy in consultation with regulatory personnel, medical consultants, and professional societies • Develops external relationships with the medical community and serves as liaison between these entities and contractors • Reviews physician and provider practice pattern analysis and statistical data related to unusual medical service utilization • Conducts research into new or controversial medical procedures and technology

🎯 Requirements

• Doctorate in a job related field • 5 years post graduate experience in direct patient care • Microsoft Office • 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 • Current board certification in a recognized specialty • Ability to obtain a security clearance • U.S. Citizenship required for security clearance • Position is not eligible for sponsorship now or in the future

🏖️ 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