Responsible for assigned aspects of medical policies and programs at HCSC. Perform medical reviews and interact with provider communities for assigned areas.
Responsibilities
Assigned Aspects Of Medical Policies And Programs
Performs Medical Reviews And Interacts With The Provider Communities For Assigned Areas.
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
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