Company Confidential Why should you join the Company Confidential family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our Company Confidential firmly embedded in the South Carolina community. We are the largest Company Confidential company in South Carolina … and much more. We are one of the nation's leading administrators of Company Confidential Company Confidential. We operate one of the most sophisticated data processing centers in the Southeast. We Company Confidential have a diverse family of subsidiary companies, allowing us to build on various business strengths. We Company Confidential outstanding service to our customers. If you are dedicated to the Company Confidential philosophy, consider joining Company Confidential! Position Purpose As a member of the senior management team, the Physical Medicine and Rehabilitation Medical Director provides administrative Company Confidential 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. The Physical Medicine and Rehabilitation Medical Director may Company Confidential write and revise medical policies. Company Confidential Logistics Company Confidential – one of BlueCross BlueShield's South Carolina subsidiary companies. Location This position is full-time (40-hours/week) Monday-Friday working REMOTE in the Company Confidential or ONSITE at our GPC location at 17 Technology Company Confidential, Columbia, SC. You will work an 8-hour shift scheduled during our normal business hours of 800AM-500PM. Company Confidential Clearance This position requires the ability to obtain a Company Confidential clearance, which requires applicants to be a U.S. Citizen. Sponsorship This position is not eligible for sponsorship now or in the Company Confidential. Company Confidential Supports Company Confidential in the Company Confidential of case review on both medical and regulatory Company Confidential. Develops claim adjudication Company Confidential 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 Company Confidential and update medical policy in consultation with appropriate regulatory personnel, medical consultants, and Company Confidential societies. Develops Company Confidential relationships with the medical community and serves as Company Confidential between these entities and the contractors. Reviews physician and provider Company Confidential Company Confidential analysis and other statistical data Company Confidential 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 in a job Company Confidential Company Confidential. Required Experience 5 years post graduate experience in Company Confidential Company Confidential care. Required Software and tools Company Confidential Office Required Skills and Abilities Excellent verbal and written communication skills. Excellent customer service, organizational, and presentation skills. Good judgment skills. Proficiency in spelling, punctuation, and grammar. Ability to persuade, negotiate, or influence others. Ability to work as Company Confidential member as Company Confidential as a leader. Knowledge of medical and utilization review techniques. Required Licenses and Certifications Company Confidential state medical license and Company Confidential Company Confidential certification in a recognized specialty. We Prefer That You Have the Following Health Company Confidential industry experience Experience in INPATIENT Rehabilitation Medicare policy knowledge and experience 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 Company Confidential coverage 401k retirement savings plan with company match Life Company Confidential Company Confidential 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 Company Confidential Can Do for You We understand the value of a diverse and inclusive workplace and Company Confidential to be an employer where employees across Company Confidential spectrums have Company Confidential to Company Confidential their skills, advance their careers and contribute their unique abilities to the Company Confidential of Company Confidential. What to Expect Next After submitting your application, our Company Confidential 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 Company Confidential, with prioritization given to those candidates who demonstrate the required qualifications. Pay Transparency Statement Please note that this Company Confidential represents the pay Company Confidential for this and other positions that fall into this pay grade. Compensation Company Confidential Company Confidential the Company Confidential will be dependent upon a Company Confidential of factors, including experience, geographic location, and internal equity. Equal Employment Opportunity Statement Company Confidential and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, Company Confidential, national Company Confidential, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, Company Confidential maintains affirmative Company Confidential programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to Company Confidential equal opportunities in Company Confidential phases of the employment Company Confidential and to Company Confidential 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-Company Confidential conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on Company Confidential. If you need special assistance or an accommodation while seeking employment, please email or Company Confidential 800-288-2227, ext. 47480 with the Company Confidential of your request. We will Company Confidential a determination regarding your request for reasonable accommodation on a case-by-case Company Confidential. We participate in E-Verify and Company Confidential with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information. Originally posted on Himalayas Apply To This Job