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HCSC

Offers health insurance and wellness programs

Regional Medical Director

Physicians & SurgeonsPosted on Nov 12
Full-timeRemote in USA

About the Job

Requirements

  • A current and unrestricted physician license in a state or territory of the United States is required.
  • Maintain board certification as an M.D. or D.O. by a specialty board approved by the American Board of Medical Specialties or the Advisory Board of Osteopathic Specialists.
  • Five years of clinical experience are required.
  • Analytical and communication skills are required.
  • Strategic thinking skills are required.

Responsibilities

  • Be responsible for assigned aspects of medical policies and programs.
  • Perform medical reviews and interact with provider communities for assigned areas.
  • Provide advanced clinical leadership across medical management programs, integrating utilization review with population health, value-based care, and provider-performance initiatives.
  • Align medical policy expertise with clinical strategy to influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes.

Desired Qualifications

  • Ability to travel.
  • Three years of managed care experience.
  • Experience in an independent Physician Association, Management Services Organization, or Value Based Enablement Organization.
  • Advanced skills in clinical interpretation, communication, data-driven strategy, and collaborative leadership.
  • Experience with Stars performance, risk adjustment education, or provider engagement.
  • Experience in matrixed environments and cross-functional clinical leadership.

About the Company

HCSC

Offers health insurance and wellness programs

HCSC is a health insurance provider active in Illinois, Montana, New Mexico, Oklahoma, and Texas. It sells health insurance plans to individuals, families, and businesses, funding its services through member premiums. The company works by offering a range of plans tailored to different needs and by investing in wellness programs and care initiatives aimed at improving member health and reducing overall costs. Compared with others, HCSC emphasizes its long history, broad regional footprint, and its focus on quality care, cost management, and wellness-driven outcomes, distinguishing itself through sustained service and programs that support healthier living. Its goal is to help people live healthier lives by delivering reliable coverage, improving member outcomes, and controlling healthcare costs.

Company size
Not listed
Company stage
Not listed
Total funding
$511.7M
Headquarters
Chicago, IL
Founded
1936

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