All roles

Open role

Market Medical Director

Remote · Sweden Full-time

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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary The role of Market Medical Director (MMD) at HealthSpring Medicare Advantage requires a strong background in clinical practice, value-based care, healthcare economics, managed care, the Medicare Stars program, risk adjustment and with a passion for working alongside provider partners to ensure positive customer outcomes and experience are top priority. As a key member of the Market leadership team, the Market Medical Director will help to drive strategy and ensure clinical excellence in clinical programs, Stars, risk adjustment and total cost of care. The Market Medical Director will continue to strengthen partnerships with providers and health systems in the Market. They will work closely with Independent Physician Associations (IPA), health systems, aligned managed service organizations (MSO) and independent practices. The ideal candidate will have experience functioning within a matrix environment with a demonstrated ability to lead by influence. 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 MBA or equivalent experience preferred but not required. Experience with case management preferred and familiarity with fraud, waste, and abuse reviews a plus. Strong computer skills and technical independence. Data science background or Artificial Intelligence knowledge is a plus. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are 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. Base Pay Range $191,500.00 - $355,600.00 Exact compensation may vary based on skills, experience, and location.

More open positions

Account Executive, Enterprise Sales

Work from home Full-time role

Sr Client Manager - LHB

Work from home Full-time role

Regional Sales Manager - North Central Distribution

Work from home Full-time role

Clinical Research Associate

Work from home Full-time role

Associate General Counsel, Privacy and Technology

Work from home Full-time role

Director, AI Platform Engineer - Remote

Work from home Full-time role

Client Implementation & Contracts Specialist

Work from home Full-time role

[Remote] Customer Services

Work from home Full-time role

Experienced Customer Service Professional – Work-from-Home Opportunity with careerzynith

Work from home Full-time role

Innovations Cross-Functional Intern

Work from home Full-time role

NETWORK COORDINATOR

Work from home Full-time role

Account Manager

Work from home Full-time role

Remote Patient Monitoring (RPM)/Chronic Care Management (CCM) Manager

Work from home Full-time role

Manager, Ent/MM Spectrum

Work from home Full-time role

Supervisor, OSM

Work from home Full-time role

Education Specialist

Work from home Full-time role

Administrative Coordinator - Wharton Operations, Information and Decisions

Work from home Full-time role

Director of Revenue Cycle Management & Credentialing

Work from home Full-time role

Fullstack Engineer SR | Product & AI-Driven (NW - FS - 20260520)

Work from home Full-time role

Experienced Customer Service Representative – Remote Work Opportunity with careerzynith

Work from home Full-time role

Part-Time Remote Data Entry Specialist – Flexible Schedule with careerzynith – Apply Today

Work from home Full-time role