See all roles

Medical Director

Work from home Full-time role Hiring

At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary The HealthSpring Supplemental Benefits (HSB) Medical Director will work closely with HSB’s National Medical Director and HSB leadership to identify opportunities to manage and improve underwriting tools, clinical reviews and processes, deploy new innovations, and collaboratively engage clinical expertise across the Enterprise.The ideal candidate will leverage their extensive clinical experience to enable delivery of HSB’s market-leading strategies, improving the lives of the individuals we serve. 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. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. The compensation 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 the conditions of the plan. HCSC Employment Statement: 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. Base Pay Range $191,500.00 - $355,600.00 Exact compensation may vary based on skills, experience, and location. Apply To This Job

You might like

Senior Business Development Underwriter - North Florida

Work from home Full-time role

SR SPECIALIST CLINICAL DOCUMENTATION INTEGRITY

Work from home Full-time role

Manual QA Engineer (Mid-level) ID67829

Work from home Full-time role

Benefits Specialist

Work from home Full-time role

Business Development Consultant ( Sales) - Public Sector, Transit, Higher Ed

Work from home Full-time role

FlexPoint Manager, Strategic Enablement and Insights

Work from home Full-time role

Commercial Account Manager 4, PS/CP

Work from home Full-time role

Vice President, Operations

Work from home Full-time role

Senior Clinical Research Associate

Work from home Full-time role

Cancer Registrar PRN

Work from home Full-time role

Experienced Virtual Customer Care Manager – Remote Customer Service and Warranty Resolution

Work from home Full-time role

Experienced Part-time Remote Data Entry Specialist – Clinical Trials Support

Work from home Full-time role

Customer Care Travel Planner

Work from home Full-time role

Senior Engineer (Platform)

Work from home Full-time role

Experienced Full Stack Customer Support Representative – Remote Work Opportunity with arenaflex

Work from home Full-time role

Software Engineer, iOS Core Product - Princeton, NJ, USA

Work from home Full-time role

Supply Chain Analysis Project Leader - Texas (100% Remote)

Work from home Full-time role

Body Radiologist - Partnership Track - Charlotte Radiology

Work from home Full-time role

Operations Manager - South East Region

Work from home Full-time role

Online Child Therapist LCSW LPC

Work from home Full-time role