[Hiring] Regional Medical Director @Health Care Service Corporation

Role Description

This position is responsible for assigned aspects of medical policies and programs. Key responsibilities include:

• Performing medical reviews and interacting with the provider communities for assigned areas.
• Providing advanced clinical leadership across medical management programs.
• Integrating traditional utilization review with strategic population health, value-based care, and provider-performance initiatives.
• Aligning medical policy expertise with forward-leaning clinical strategy to influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

Qualifications

• Relevant experience in medical policies and programs.
• Strong clinical leadership skills.
• Experience with utilization review and population health strategies.

Requirements

• Ability to work remotely from specified states.
• Commitment to a drug-free and smoke-free workplace.
• Successful completion of drug screening may be required.

Benefits

• Health and wellness benefits.
• 401(k) savings plan.
• Pension plan.
• A minimum of 15 days of paid time off.
• Paid parental leave.
• Disability insurance.
• Supplemental life insurance.
• Employee assistance program.
• Paid holidays.
• Tuition reimbursement.
• Other incentives.

Company Description

At CareAllies, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and conditions of the plan.

Min to Max Range: $191,500.00 - $355,600.00. Exact compensation may vary based on skills, experience, and location.