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.

This Position Is Responsible For Assigned Aspects Of Medical Policies And Programs. Performs Medical 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 This role requires an ILLINOIS license 100% remote, Monday-Friday 8am-5pm/8:30am-5:30pm ***Requires rotating weekend calls for this role**

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

Market Performance Subset

Required Job Qualifications:

Physician with a current and unrestricted physician license in a state or territory of the United States.
Maintain Board Certification as a M.D. or D.O. (by a specialty board approved by the American Board of Medical Specialties (doctors of medicine); or the Advisory Board of Osteopathic Specialists (doctors of osteopathic medicine)
5 years of clinical experience
Analytical and communication skills
Strategic thinking skills

Preferred Job Qualifications: 3 years Managed Care experience

Advanced skills in clinical interpretation, communication, data-driven strategy, and collaborative leadership
Experience with Stars performance, risk adjustment education, or provider engagement
Experience in matrixed environments and cross-functional clinical leadership.

Compensation: $191,500.00 - $355,600.00

Exact compensation may vary based on skills, experience, and location

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.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards

Health Care Service Corporation

Latest Jobs

Medical Director