Molecular Diagnostics Medicare Medical Director - reputed company
reputed companyWhy should you join the reputed company family of companies?
Other companies come and go, but we've been part of the national landscape for more than seven decades, with our reputed company firmly embedded in the South Carolina community. We are the largest reputed company company in South Carolina … and much more. We are one of the nation's leading administrators of reputed company reputed company. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We reputed company outstanding service to our customers. If you are dedicated to the reputed company philosophy, consider joining reputed company!
Position Purpose:
The Molecular Diagnostics Medicare Medical Director at reputed company oversees medical staff, analyzes utilization data, research emerging molecular technologies, and serves as a resource for providers and internal teams on policy issues. The role also includes developing, writing, and revising medical policies to ensure compliance and support Medicare coverage reputed company.
reputed company
Logistics:reputed company – one of BlueCross BlueShield's South Carolina subsidiary companies.
Location: This position is full-time (40-hours/week) Monday-Friday working REMOTE in the reputed company or ONSITE at our GPC location at 17 Technology reputed company, Columbia, SC.
Sponsorship: This position is not eligible for sponsorship now or in the reputed company.
reputed company:
Supports reputed company in the reputed company of case review on both medical and regulatory reputed company. Develops claim adjudication reputed company for situations requiring medical judgment. Provides input on issues and operational policies, processes, and procedures.
Educates staff and medical community on various aspects of medical policy and program administration.
May reputed company and update medical policy in consultation with appropriate regulatory personnel, medical consultants, and reputed company societies. Develops reputed company relationships with the medical community and serves as reputed company between these entities and the contractors.
Reviews physician and provider reputed company reputed company analysis and other statistical data reputed company to unusual medical service utilization.
Conducts research into new or controversial medical procedures and technology.
To Qualify For This Position, You’ll Need The Following:
Required Education: Doctorate degree Medical Doctor (MD) with reputed company reputed company license to reputed company medicine.
Required License and Certificate: reputed company state medical license and reputed company reputed company certification in a recognized specialty.
Required Work Experience: 5 years post graduate experience in reputed company reputed company care.
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 reputed company member as reputed company as a leader. Knowledge of medical and utilization review techniques.
Required Software: reputed company Office Suite.
We Prefer That You Have The Following:
Molecular Genetic Pathology fellowship training.
Medicare experience.
Experience interpreting medical evidence.
Scientific training/Research experience with publication history in Molecular Diagnostics.
Our Comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
Subsidized health plans, dental and reputed company coverage
401k retirement savings plan with company match
Life reputed company
reputed company Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
reputed company Can Do for You:
We understand the value of a diverse and inclusive workplace and reputed company to be an employer where employees across reputed company spectrums have reputed company to reputed company their skills, advance their careers, and contribute their unique abilities to the reputed company of reputed company.
What to Expect Next:
After submitting your application, our reputed company team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Management will be conducting interviews with those candidates who are the most reputed company, with prioritization given to those candidates who demonstrate the required qualifications.
Pay reputed company Information:
reputed company Minimum
$206,011.00
reputed company Midpoint
$309,767.00
reputed company Maximum
$413,523.00
Pay Transparency Statement:
Please note that this reputed company represents the pay reputed company for this and other positions that fall into this pay grade. Compensation reputed company reputed company the reputed company will be dependent upon a reputed company of factors, including experience, geographic location, and internal equity.
Logistics:reputed company – one of BlueCross BlueShield's South Carolina subsidiary companies.
Location: This position is full-time (40-hours/week) Monday-Friday working REMOTE in the reputed company or ONSITE at our GPC location at 17 Technology reputed company, Columbia, SC.
Sponsorship: This position is not eligible for sponsorship now or in the reputed company.
reputed company:
Supports reputed company in the reputed company of case review on both medical and regulatory reputed company. Develops claim adjudication reputed company for situations requiring medical judgment. Provides input on issues and operational policies, processes, and procedures.
Educates staff and medical community on various aspects of medical policy and program administration.
May reputed company and update medical policy in consultation with appropriate regulatory personnel, medical consultants, and reputed company societies. Develops reputed company relationships with the medical community and serves as reputed company between these entities and the contractors.
Reviews physician and provider reputed company reputed company analysis and other statistical data reputed company to unusual medical service utilization.
Conducts research into new or controversial medical procedures and technology.
To Qualify For This Position, You’ll Need The Following:
Required Education: Doctorate degree Medical Doctor (MD) with reputed company reputed company license to reputed company medicine.
Required License and Certificate: reputed company state medical license and reputed company reputed company certification in a recognized specialty.
Required Work Experience: 5 years post graduate experience in reputed company reputed company care.
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 reputed company member as reputed company as a leader. Knowledge of medical and utilization review techniques.
Required Software: reputed company Office Suite.
We Prefer That You Have The Following:
Molecular Genetic Pathology fellowship training.
Medicare experience.
Experience interpreting medical evidence.
Scientific training/Research experience with publication history in Molecular Diagnostics.
Our Comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
Subsidized health plans, dental and reputed company coverage
401k retirement savings plan with company match
Life reputed company
reputed company Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
reputed company Can Do for You:
We understand the value of a diverse and inclusive workplace and reputed company to be an employer where employees across reputed company spectrums have reputed company to reputed company their skills, advance their careers, and contribute their unique abilities to the reputed company of reputed company.
What to Expect Next:
After submitting your application, our reputed company team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Management will be conducting interviews with those candidates who are the most reputed company, with prioritization given to those candidates who demonstrate the required qualifications.
Pay reputed company Information:
reputed company Minimum
$206,011.00
reputed company Midpoint
$309,767.00
reputed company Maximum
$413,523.00
Pay Transparency Statement:
Please note that this reputed company represents the pay reputed company for this and other positions that fall into this pay grade. Compensation reputed company reputed company the reputed company will be dependent upon a reputed company of factors, including experience, geographic location, and internal equity.
Equal Employment Opportunity Statement
reputed company and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, reputed company, national reputed company, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, reputed company maintains affirmative reputed company programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to reputed company equal opportunities in reputed company phases of the employment process and to reputed company with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-reputed company conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on reputed company.
If you need special assistance or an accommodation while seeking employment, please email or reputed company 800-288-2227, ext. 47480 with the reputed company of your request. We will reputed company a determination regarding your request for reasonable accommodation on a case-by-case reputed company.
We participate in E-Verify and reputed company with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
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Originally posted on Himalayas
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