Physical Medicine and Rehabilitation Medical Director

🔥 19 minutes ago

🌲 North Carolina, South Carolina, +2 more states – Remote

🌲 North Carolina – Remote 🌴 South Carolina – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote

💵 $206k - $413.5k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

BlueCross BlueShield of South Carolina

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Insurance • Finance

BlueCross BlueShield of South Carolina is a leading health insurance provider that offers a variety of health plans, including individual and family plans, Medicare options, and group health plans. The organization focuses on providing coverage and resources for members, employers, and healthcare providers, ensuring access to quality healthcare services. With a commitment to promoting healthier lifestyles and supporting community health, BlueCross BlueShield of South Carolina plays a vital role in the healthcare landscape of the region.

📋 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 medical policy issues • Writes and revises medical policies • Supports operations in case review on medical and regulatory matters • 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 medical policy and program administration • Develops and updates medical policies in consultation with regulatory personnel and consultants • Develops external relationships with the medical community • Reviews physician and provider practice pattern analysis and other statistical data • 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 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