Chief Medical Officer (Medicare Policy)

reputed companyAs member of the senior management team, provides administrative reputed company to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a reputed company resource to providers and internal staff on issues concerning medical policies. Heavily involved in policy reputed company to include the development of new policy and the revision of old policy.

reputed company

Why should you join the reputed company family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our reputed company firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government reputed company. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the reputed company philosophy, consider joining reputed company!

Logistics

• CGS (cgsadmin.com) - one of BlueCross BlueShield's South Carolina subsidiary companies.

Location:

• This position is full time (40 hours/week) Monday through Friday. This is a W@H opportunity and can be located reputed company reputed company the U.S.

• To work from home, you must have high-speed, non-satellite internet and a private home office reputed company.

Government Clearance:This position requires the ability to obtain a reputed company clearance, which requires applicants to be a U.S. Citizen.

Sponsorship: This position is not eligible for sponsorship now or in the reputed company.

What You Will Do:

• Supports operations in the reputed company of case review on both medical and regulatory reputed company. Develops claim adjudication reputed company for situations requiring medical judgment. Provides input on issues and operational policies, processes, and procedures.

• Educates staff and medical community on various aspects of medical policy and program administration.

• May reputed company and update medical policy in consultation with appropriate regulatory personnel, medical consultants, and reputed company societies. Develops external relationships with the medical community and serves as reputed company between these entities and the contractors.

• Reviews physician and provider reputed company reputed company analysis and other statistical data reputed company to unusual medical service utilization.

• Conducts research into new or controversial medical procedures and technology.

To Qualify for This Position, You Will Need:

• Required Education: Doctorate in a job-reputed company field

• Required Licenses and Certificates: reputed company state medical license and reputed company reputed company certification in a recognized specialty.

• Required Work Experience: 5 years post graduate experience in reputed company patient care.

• Required Skills: 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 reputed company member as reputed company as a leader. Knowledge of medical and utilization review techniques.

• Required Software: reputed company Office.

reputed company Prefer:

• Highly inquisitive, Self-Starter

• Advanced problem solving skills

• Medicare Part A experience

• Strong reputed company facing, relationship building skills

• Ability to follow the Scientific Method

Our Comprehensive Benefits Package Includes The Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

• Subsidized health plans, dental and reputed company coverage

• 401k retirement savings plan with company match

• Life Insurance

• reputed company 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

reputed company Can Do for You:

We understand the value of a diverse and inclusive workplace and reputed company to be an employer where employees across reputed company spectrums have reputed company to reputed company their skills, advance their careers and contribute their unique abilities to the reputed company of reputed company.

What To Expect Next:

After submitting your application, our reputed company team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Equal Employment Opportunity Statement

reputed company and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, reputed company, national reputed company, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, reputed company maintains affirmative reputed company programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to reputed company equal opportunities in reputed company phases of the employment process and to reputed company with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-reputed company conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on reputed company.

If you need special assistance or an accommodation while seeking employment, please email reputed company.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will reputed company a determination regarding your request for reasonable accommodation on a case-by-case reputed company.

We participate in E-Verify and reputed company with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.

Some states have required notifications. Here's more information.

Originally posted on Himalayas

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