Medical Consultant

4 days ago


Nova Scotia, Canada Medavie Blue Cross Full time
Job Title: Medical Consultant

Medavie Blue Cross is seeking a highly skilled Medical Consultant to join our Medicare Programs Team on a part-time basis. As a Medical Consultant, you will play a critical role in supporting the MSI post-payment monitoring function and providing medical expertise to key stakeholders.

Key Responsibilities:
  • Support a team of Medicare Auditors in conducting billing audits and evaluating alternative funding contracts.
  • Develop and implement policies and procedures to enhance monitoring operations and improve departmental resources.
  • Communicate with providers, Nova Scotia residents, and government agencies to resolve issues and maintain productive relationships.
  • Provide feedback and billing guidance to the audit team and physicians on audit results.
  • Support the development of Physician Education on the NS fee code and guidelines.
  • Participate in various meetings with the Department of Health and Wellness and other stakeholders.
Requirements:
  • University degree with a Doctor of Medicine and an active medical license in good standing.
  • 10-15 years of experience as a physician in a range of practice settings.
  • Excellent written and verbal communication skills, with strong interpersonal skills and the ability to build relationships.
  • Ability to travel throughout the province of Nova Scotia.
What We Offer:
  • Competitive compensation.
  • Opportunity to work with a leading health and wellness partner in Canada.
  • Collaborative and award-winning culture.

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