Consultant- Medical Director
BlueCross BlueShield of Tennessee(27 days ago)
About this role
A physician consultant (MD or DO) at BlueCross BlueShield of Tennessee providing clinical oversight within medical management to ensure consistent application of medical necessity criteria and support quality initiatives. The position interacts with organizational committees and leadership and may require travel within Tennessee and nationally.
Required Skills
- Medical Review
- Utilization Management
- Appeals Review
- Clinical Analysis
- Quality Improvement
- Committee Leadership
- Negotiation
- Presentation
- Facilitation
- Microsoft Office
+2 more
Qualifications
- MD or DO
- Unencumbered Tennessee Medical License
- Board Certification
About BlueCross BlueShield of Tennessee
bcbst.comLearn more about BlueCross BlueShield of Tennessee (BCBST) health insurance and the medical, dental and vision plans we offer for employers, individuals and families.
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