Health Care Service Corp.
At HCSC, our employees are the cornerstone of our business and the foundation of 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
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 license in a U.S. state or territory Maintain Board Certification by an approved specialty board (e.g., American Board of Medical Specialties, National Board of Physicians and Surgeons, or the Advisory Board of Osteopathic Specialists) Minimum of 5 years of clinical experience Analytical and communication skills Strategic thinking skills Proficiency in computer applications (e.g., Microsoft 365) for electronic documentation of case reviews Preferred Requirements:
Board Certification in Oncology, Physical Medicine and Rehabilitation, Surgery, or Plastic Surgery At least 3 years of Managed Care experience This is a telecommute (remote) role: Must reside within 250 miles of the office or within the posted state. INAK #LI-AK1 Referral Process:
If you're being referred to this role, ask your connection at HCSC about our Employee Referral process. Pay Transparency:
We offer comprehensive benefits including health and wellness plans, 401(k), pension, paid time off, parental leave, disability and life insurance, employee assistance, paid holidays, tuition reimbursement, and more. Learn more at
https://careers.hcsc.com/totalrewards . Compensation varies based on skills and experience and may include an annual incentive bonus. Equal Opportunity Employment:
We are committed to an inclusive environment and provide equal employment opportunities to all applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Base Pay Range:
$187,700.00 - $348,600.00 #J-18808-Ljbffr
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 license in a U.S. state or territory Maintain Board Certification by an approved specialty board (e.g., American Board of Medical Specialties, National Board of Physicians and Surgeons, or the Advisory Board of Osteopathic Specialists) Minimum of 5 years of clinical experience Analytical and communication skills Strategic thinking skills Proficiency in computer applications (e.g., Microsoft 365) for electronic documentation of case reviews Preferred Requirements:
Board Certification in Oncology, Physical Medicine and Rehabilitation, Surgery, or Plastic Surgery At least 3 years of Managed Care experience This is a telecommute (remote) role: Must reside within 250 miles of the office or within the posted state. INAK #LI-AK1 Referral Process:
If you're being referred to this role, ask your connection at HCSC about our Employee Referral process. Pay Transparency:
We offer comprehensive benefits including health and wellness plans, 401(k), pension, paid time off, parental leave, disability and life insurance, employee assistance, paid holidays, tuition reimbursement, and more. Learn more at
https://careers.hcsc.com/totalrewards . Compensation varies based on skills and experience and may include an annual incentive bonus. Equal Opportunity Employment:
We are committed to an inclusive environment and provide equal employment opportunities to all applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Base Pay Range:
$187,700.00 - $348,600.00 #J-18808-Ljbffr