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Anthem, Inc. Pathologist Medical Director (NGS) in Eagan, Minnesota

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At National Government Services (NGS), an independent subsidiary of Anthem, Inc. and one of the largest Medicare contractors in the country, it’s a powerful combination. It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve.

Title: Medical Director - National Government Services (NGS)

Hours: Standard Business Hours (Central Time Zone)

The Medical Director will be responsible for the administration of medical services for company health plans and ensures clinical integrity of broad and significant clinical programs, including the overall medical policies of the business unit.

Primary duties may include, but are not limited to:

  • Interprets existing policies and develops new policies based on changes in the healthcare or medical arena.

  • Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.

  • Supports the Medical Management staff ensuring timely and consistent responses to members and providers.

  • Identifies and develops opportunities for innovation to increase effectiveness and quality.

  • Develops and service as subject matter expert for the NGS Administrative Law Judge process.

  • Serves as a resource and consultant to other areas of the company.

  • May chair or serve on company committees.

  • May be required to represent Anthem to external entities and/or serve on external committees.

Qualifications

  • Requires M.D. or D.O.

  • Board certification in Pathology approved by the American Board of Medical Specialties required.

  • Experience in Molecular Testing highly preferred.

  • Must possess an active unrestricted medical license to practice medicine.

  • 10 years of clinical experience or any combination of education and experience, which would provide an equivalent background.

  • Candidates based in Midwest or East coast preferred.

  • Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.

  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

REQNUMBER: PS37940-US

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