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Medical Director
Health Care Service Corporation. Handle assigned aspects of medical policies and programs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical policy management and appeals review, with a strong foundation in clinical practice and strategic thinking. Proficient in electronic documentation and communication within provider communities.
Highest-signal resume keywords
Physician License (M.D. or D.O.)Board Certification5 Years Clinical ExperienceManaged Care ExperienceAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
Communication SkillsStrategic Thinking Skills
Tools & Technologies
Microsoft OfficeLotus Notes
Certifications & Qualifications
Board Certification by Specialty Board
Industry Keywords
Medical PoliciesMedical AppealsProvider CommunitiesClinical ExperienceManaged Care
About the role
Key responsibilities & impact- Handle assigned aspects of medical policies and programs
- Perform medical appeals reviews
- Interact with provider communities for assigned areas
Requirements
What you’ll need- 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 Microsoft Office products and Lotus Notes, for electronic documentation of case reviews
- 3 years of Managed Care experience preferred
Benefits
Comp & perks- Curated development plans and professional development opportunities
- 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
- Other incentives
- Annual incentive bonus plan