Das ist der Job
Facilitates all physician and provider committees as needed.
Darum lohnt es sich
Provides advice on external contractual benefit issues.NATURE AND SCOPEThis role does not manage peopleThis role reports to this job: SENIOR MEDICAL DIRECTOR (MGR)Necessary Contacts: department Managers, Authorization, Utilization Management, Case Management, Disease Management, Compliance personnel, and other employees as indicated, Licensed Doctors of Medicine (Physicians), Hospitals, and other healthcare providers, Parish and state medical agencies and societies as needed, Accreditation and governmental entities’ personnel as needed.QUALIFICATIONSEducationDoctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) requiredMust b We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities.
We invite you to apply for a career with us.Residency in or relocation to Louisiana is preferred for all positions.POSITION PURPOSEPromote and support the BlueCross and BlueShield of Louisiana (BCBSLA) Mission Statement.
Reviews treatment procedures and services to ensure that they are within established guidelines or supported by generally accepted medical evidence when formal guidelines do not exist.
To provide direction to operations as applicable, including utilization activities including but not limited to Utilization Management, Case Management and Disease Management, Population Health and Wellness.
