Physician Advisor - Concierge Care Management
BlueCross BlueShield of South Carolina | |
United States, South Carolina, Columbia | |
Sep 24, 2024 | |
Summary Provides direct physician support. Oversees health and disease management programs. Oversees utilization management case evaluation for medical necessity. Reviews and communicates medical decisions. Interacts with network physician providers to resolve case-by-case complaints. Oversees medical aspects of vendor relationships. Assists in developing medical policy.
Description
Provides medical and administrative oversight of the health and disease management programs including budgeting, program strategic planning, and review of outgoing correspondence and printed materials. Provides presentations on health and disease management as assigned. Additional:
Required Education: Doctorate in a job related field Required Skills and Abilities: Demonstrated ability to direct multiple strategic projects. Excellent verbal and written communication skills. Excellent judgment, organizational, customer service, presentation skills. Excellent analytical or critical thinking skills. Knowledge of strategic concepts. Ability to persuade, negotiate, or influence others. Working knowledge of word processing, spreadsheet, and presentation software. Preferred Work Experience: 2 years-medical data analysis/analytical capability to interpret statistical information. Preferred Experience: Inpatient or previous Healthcare Case Management oversight experience preferred Care Management Physician Certification or Other formal Case Management training preferred. This role is hybrid, with 3 days in office onsite at our Percival Road location. 20 to 25% travel expected. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Some states have required notifications. Here's more information. Equal Employment Opportunity StatementBlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. |