Medical Director- TX Med Ops Commercial - Richardson, United States - HCSC

HCSC Richardson, United States

2 weeks ago

Description

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success.

We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future

Job Summary

This Position Is Responsible For Assigned Aspects Of Medical Policies And UM Programs. Performs Medical Necessity Reviews And Interacts With The Provider Communities For Assigned Areas.

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:

3 years Managed Care experience
Highly seeking Specialties: Physical Medicine (PM&R), Otolaryngology (ENT) and Neurosurgery or other surgical specialties

This role is 100% work from home, there are 2 openings

Must reside within one of HCSC's 5 state plans (TX, IL, NM, OK, or MT)

Must possess a TX LicenseMonday-Friday, occasional weekend calls

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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