LansingRecruiter Since 2001
the smart solution for Lansing jobs

Medicare Medical Director

Company: BlueCross BlueShield of South Carolina
Location: Lansing
Posted on: September 17, 2020

Job Description:

Companies

Molecular Genetic Pathology fellowship training.

Medicare experience.

Director Medical Management Jobs in Michigan. Jobs. Jobs. Interviews. Blue Cross and Blue Shield of South Carolina3.6?. As member of the senior management team, provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a resource to providers and internal staff on issues concerning medical policies. May also write and revise medical policies.. Description. *This position can be worked remotely.. *Must be willing to travel to Columbia, SC at least one week per month for on-site meetings/training.. •30% Supports operations in the form of case review on both medical and regulatory matters. Develops claim adjudication criteria for situations requiring medical judgment. Provides input on issues and operational policies, processes, and procedures.. •30% Educates staff and medical community on various aspects of medical policy and program administration.. •20% May develop and update medical policy in consultation with appropriate regulatory personnel, medical consultants, and professional societies. Develops external relationships with the medical community and serves as liaison between these entities and the contractors.. •10% Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization.. •10% Conducts research into new or controversial medical procedures and technology.. Required Education:. Doctorate degree Medical Doctor (MD) with current active license to practice medicine.. Required Work Experience:. Five years post graduate experience in direct patient care.. Preferred:. Experience interpreting medical evidence.. Scientific training/Research experience with publication history in Molecular Diagnostics.. Required Skills and Abilities:. Excellent verbal and written communication skills.. Excellent customer service, organizational, and presentation 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.. Required Software :. Microsoft Office.. Required License and Certificate:. Active state medical license and current board certification in a recognized specialty.. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.. Equal Employment Opportunity Statement. BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.. We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.. If you need special assistance or an accommodation while seeking employment, please e-mail abilities@bcbssc.com or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.. Get alerts to jobs like this, to your inbox.

Salaries

Keywords: BlueCross BlueShield of South Carolina, Lansing , Medicare Medical Director, Other , Lansing, Michigan

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Amazon Shopper
Description: Shopper Team Member Shifts Morning, Day, Evening, Weekend Location: West Bloomfield, MI, Birmingham, MI, and Rochester Hills, MI Job opportunities vary by location. We update postings daily with open (more...)
Company: Amazon Workforce Staffing
Location: Royal Oak
Posted on: 09/30/2020

Package Delivery Driver
Description: Package Delivery Drivers: 21.00/Hour and up, depending on location and shift UPS is accepting applications for temporary, seasonal full-time Package Delivery Drivers. This is a physical, fast-paced, (more...)
Company: UPS
Location: Saginaw
Posted on: 09/30/2020

Registered Nurse - Dialysis - 13 Week Contract
Description: Job Description Highly skilled Registered Nurses with experience caring for patients suffering from conditions of the kidney including acute or chronic kidney failure are needed for a 13 week
Company: Jackson Nurse Professionals
Location: Saginaw
Posted on: 09/30/2020


The Home Depot: Front Of Store Attendant
Description: Job Description Lot Associates
Company: The Home Depot
Location: Saginaw
Posted on: 09/30/2020

Entry Level Autism Behavior Therapist
Description: Job Description An Autism Caregiver job is available through Centria Healthcare. This position will help the development of children who are on the Autism Spectrum by providing ABA Applied Behavior (more...)
Company: Centria Healthcare - Autism Services
Location: Saginaw
Posted on: 09/30/2020

CDL-A Flatbed Owner Operator Truck Driver- Same Day Pay
Description: Job Description CDL-A OTR Owner Operator Truck Driver Jobs Grow your CDL-A business with flatbed, step deck amp heavy haul routes At Bennett Motor Express, we know there's nothing more important than (more...)
Company: Bennett Family of Companies
Location: Saginaw
Posted on: 09/30/2020

Warehouse Worker - Package Handler
Description: Shift: Sunrise/Preload 4:00 AM - 9:00 AM Twilight 6:00 PM - 9:30 PM WAREHOUSE WORKER - PACKAGE HANDLER Find out what you'll become as a
Company: UPS
Location: Saginaw
Posted on: 09/30/2020

Deliver with Uber Eats
Description: Job DescriptionDeliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends--it's up to you. Earn Good Money. You'll
Company: Uber Eats
Location: Royal Oak
Posted on: 09/30/2020

High Demand For Quality Siding Pros - Get New Clients In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: Royal Oak
Posted on: 09/30/2020

Deliver with Uber on your schedule
Description: Job DescriptionDeliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends--it's up to you. Earn Good Money. You'll
Company: Uber Eats
Location: Saginaw
Posted on: 09/30/2020

Log In or Create An Account

Get the latest Michigan jobs by following @recnetMI on Twitter!

Lansing RSS job feeds