At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

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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 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

• This role is 100% remote

• M-F w/ occasional weekend calls and one holiday call per year

• Must be licensed in TX, IL, NM, MT, or OK

• There are 3 openings available for this team

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.