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Specialists needed to assist in developing medical policies

March 25, 2013

IBC is currently recruiting physicians to participate in the review of medical policies related to a number of medical specialties. These physicians would be responsible for evaluating and providing feedback on the scientific evidence and local standards of care addressed in our medical policies. Medical policies are research-based documents that allow us to evaluate the medical necessity of services, devices, drugs and biologics, and procedures for our members. In addition, medical policies provide guidelines for obtaining benefits and reimbursement in accordance with the member's benefits plan. As a consultant, you will evaluate proposed medical policies based on your areas of expertise and be paid a consulting fee. Your contributions will significantly impact the medical policies that IBC establishes, which affect the delivery of health care in our region. At this time, IBC is seeking physician consultants in the following specialties: cardiology interventional radiology medical genetics pain management oncology

Qualifications

To qualify as a consultant, you must: maintain board certification in each specialty for which you wish to consult; maintain an active clinical practice in each specialty for which you wish to consult; understand and agree to our conflict of interest statement, which is available upon request prior to participation and is reviewed and reaffirmed annually; understand and agree to our confidentiality statement; maintain a high ethical standard, evidenced by the absence of any IBC investigation into personal or group claims practices.

Become a consultant

If you meet these criteria and are interested in sharing your expertise as a consultant, please submit your curriculum vitae by email to george.fenimore@ibx.com or by mail to: George S. Fenimore, DNP, RN Director, Medical & Claim Payment Policy Independence Blue Cross 1901 Market Street, 29th floor Philadelphia, PA 19103

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