[Hiring] Medical Director @BlueCross BlueShield of South Carolina

Role Description

Analyzes medical review utilization data, researches new medical procedures or technology, and acts as a lead resource to providers and internal staff on issues concerning medical policies. Heavily involved in policy generation to include the development of new policy and the revision of old policy. This role is centered on policy expertise rather than organizational clinical leadership. While highly impactful, the scope is focused on Medicare policy development, interpretation, and guidance. It does not include enterprise clinical leadership, direct reports, or executive-level strategic ownership.

Qualifications

• Doctorate in a job-related field
• Active state medical license and current board certification in a recognized specialty
• 5 years post graduate experience in direct patient care
• 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
• Proficiency in Microsoft Office

Requirements

• Ability to obtain a security clearance (U.S. Citizen required)
• This 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