Jobs · Healthcare

Medical Director (Remote)

Health Care Service Corporation · Nashville, TN · 2 wk ago
RemoteRemoteHealthcare$192k–$356k/yrFull-time

Job Summary

The HealthSpring Supplemental Benefits (HSB) Medical Director will work closely with HSB’s National Medical Director and HSB leadership to manage and improve underwriting tools, clinical reviews and processes, and deploy new innovations.

Job 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

Preferred Requirements

  • 10 years clinical practice experience preferred
  • Experience in Medigap, Supplemental Health Insurance, or Medical Underwriting is preferred, but not required
  • MBA or equivalent experience preferred
  • Experience with case management preferred and familiarity with fraud, waste, and abuse reviews a plus

Compensation

$191,500.00 - $355,600.00 exact compensation may vary based on skills, experience, and location

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