Director, Medical Review

4 Days Old

# # # To learn more about our website privacy policy, click on this .**Government Clearance:** **This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.****Required Education:** Bachelor's in a job related field.**Required Experience:** 5 years healthcare program management, utilization/case management, or medical review management to include 3 years of supervisory/management experience or equivalent military experience in grade E4 or above.**Required Software and tools:** Microsoft Office. Knowledge of medical systems software.- **Required Skills and Abilities:** * Excellent verbal and written communication skills. * Excellent organizational, customer service, analytical or critical thinking skills. * Excellent presentation skills. * Good judgment skills. * Ability to persuade, negotiate, or influence others.* 8 years-healthcare program management, utilization/case management, or medical review management to include 3 years of supervisory/management experience or equivalent military experience grade E4 or above.* Ability to negotiate and seek consensus with key stakeholders.* In-depth knowledge of the Medicare program.* Excellent decision making and problem solving.* Demonstrated knowledge of developing, monitoring, and overseeing budgets.* Subsidized health plans, dental and vision coverage* 401k retirement savings plan with company match* Life Insurance* Paid Time Off (PTO)* On-site cafeterias and fitness centers in major locations* Education Assistance* Service Recognition* National discounts to movies, theaters, zoos, theme parks and morePGBA, LLC is a leading provider of administrative services for the TRICARE health benefit program and health benefit programs of Veteran’s Health Administration for both state and federal governments. The company has offices in Florence, Surfside Beach, and Columbia, South Carolina.PGBA employees work in an atmosphere that is conducive to growth and on that fosters a focus on personal and professional development with an environment made up of people from different parts of the world with diverse cultural Excellent benefits, as well as a competitive compensation program, make us one of the leading employers in today’s corporate market. #J-18808-Ljbffr
Location:
Myrtle Beach, SC, United States
Salary:
$125,000 - $150,000
Category:
Management & Operations

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