Physical Medicine and Rehabilitation Medical Director
WFA Digital Insight
The demand for skilled medical directors in physical medicine and rehabilitation has seen significant growth, with a reported 25% increase in job openings over the past year. As the healthcare industry continues to evolve, professionals with a strong background in direct patient care and medical administration are in high demand. Palmetto GBA, a subsidiary of BlueCross BlueShield, is seeking a talented Medical Director to provide administrative oversight and drive business growth. With the shift towards remote work, this role offers a unique opportunity to work from anywhere in the United States, leveraging technology to deliver high-quality patient care. Before applying, candidates should be aware of the required skills, including proficiency in Microsoft Office, particularly Excel, and excellent verbal and written communication skills.
Job Description
About the Role
The Physical Medicine and Rehabilitation Medical Director role at Palmetto GBA is a senior management position that requires a unique blend of medical expertise and administrative acumen. As a member of the leadership team, the successful candidate will be responsible for providing oversight to the medical staff, analyzing medical review utilization data, and researching new medical procedures and technologies. This role is critical to the organization's success, as it requires a deep understanding of medical policies, procedures, and best practices.The Medical Director will work closely with the medical staff, providers, and internal teams to ensure that medical policies and procedures are up-to-date and aligned with industry standards. This will involve collaborating with cross-functional teams, including medical consultants, regulatory personnel, and professional societies. The ideal candidate will have a strong background in physical medicine and rehabilitation, with a proven track record of driving business growth and improving patient outcomes.
The role is based in the United States, with the option to work remotely or onsite at the company's location in Columbia, SC. The successful candidate will be expected to work a standard 8-hour shift, Monday to Friday, with occasional flexibility to meet business needs.
What You Will Do
- Provide administrative oversight to the medical staff, including analyzing medical review utilization data and researching new medical procedures and technologies
- Collaborate with cross-functional teams to develop and implement medical policies and procedures
- Serve as a resource to providers and internal staff on issues concerning medical policies and procedures
- Develop and update medical policies in consultation with regulatory personnel, medical consultants, and professional societies
- Educate staff and the medical community on various aspects of medical policy and program administration
- Conduct research into new or controversial medical procedures and technologies
- Review physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization
- Develop external relationships with the medical community and serve as a liaison between these entities and the contractors
- Provide input on issues and operational policies, processes, and procedures
What We Are Looking For
- Doctorate in a job-related field
- 5 years of post-graduate experience in direct patient care
- Proficiency in Microsoft Office, particularly Excel
- Excellent verbal and written communication skills
- Excellent customer service, organizational, and presentation skills
- Good judgment skills
- Ability to persuade, negotiate, or influence others
- Ability to work as a team member as well as a leader
- Knowledge of medical and utilization review techniques
- Active state medical license and current board certification in a recognized specialty
Nice to Have
- Health insurance industry experience
- Experience in inpatient rehabilitation
- Medicare policy knowledge and experience
Benefits and Perks
- Subsidized health plans, dental, and vision coverage
- 401k retirement savings plan with company match
- Life insurance
- Paid 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
- Remote work options with flexible scheduling
- Professional development opportunities
- Collaborative and dynamic work environment
How to Stand Out
- Ensure your resume and cover letter are tailored to the specific requirements of the Medical Director role, highlighting your experience in physical medicine and rehabilitation.
- Develop a strong understanding of medical policies, procedures, and best practices, and be prepared to discuss your experience in these areas during the interview process.
- Prepare to provide specific examples of your ability to analyze medical review utilization data and research new medical procedures and technologies.
- Be prepared to discuss your experience working with cross-functional teams, including medical consultants, regulatory personnel, and professional societies.
- Consider creating a portfolio that showcases your accomplishments and experience in medical administration, including any relevant publications, presentations, or awards.
- Be prepared to negotiate salary and benefits, and have a clear understanding of your worth in the market.
- Research the company culture and values, and be prepared to discuss how your skills and experience align with these during the interview process.
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