Medical Director, Medical Affairs

1 month ago


Washington DC, United States Blue Cross Blue Shield Association Full time

Responsible to BCBS Plan and other key stakeholders to provide clinical expertise and leadership for medical affairs strategy development and implementation. Serves as a thought and opinion leader to provide clinical leadership and support to internal and external strategic initiatives in support of BCBSA and BCBS Plans. Works collaboratively with other medical directors to provide consultative leaders to the development of evidence-based reference medical policy information. Designs and implements innovative solutions that enable BCBS Plans to be proactive and that also enable industry leadership.

  • Medical Affairs Leadership-Responsible to BCBS Plan and other key stakeholders to provide clinical expertise and leadership for medical affairs strategy development and implementation. Serves as a thought and opinion leader to provide clinical leadership and support to internal and external strategic initiatives in support of BCBSA and BCBS Plans. Provides clinical guidance and support to initiatives that address public health issues. Implements deliverables in support of BCBSA Board strategies and OCA key initiatives
  • Reference Medical Consultation-Collaborates with other medical directors to provide consultative leader and direction to Medical Policy Service in the development of evidence-based reference medical policy information.
  • Communication Management-Publication: Manage and undertake process improvement for the internal communication on timelines, evidentiary review, and deliverables. BCBSA Board Strategies: deliver the identified content in support of the BCBSA Board Strategies, including precision medicine and medical policy management
  • Ensure strong Thought Leader (TL) relationships; develop and nurture relationships with Key Opinion Leaders (KOLs) and consultants in the clinical community in order to strengthen BCBSA's leadership position; serve as a professional representative of OCA in the healthcare community. Share responsibility with Clinical Operations for decisions regarding the recruitment and retention of pharmaceutical, medical device, as well as new business opportunities and strategies for product/platform development.

Education

  • M.D. or D.O.

Certifications
  • Medical license
  • Board certification

Experience
  • A minimum of 5 years health plan experience, as Medical Director or Medical Consultant with responsibility
  • Experience in representing Medical Affairs and Clinical Operations to consumers, businesses, providers and media

Skills
  • Demonstrated knowledge and experience of interaction of clinical operations with other Plan functions including but not limited to medical management, medical policy, legal, marketing, media, government relations, provider contracting etc.
  • Knowledge of medical policy implementation, claims operations and provider and account relations
  • Works effectively in cross functional teams
  • Works effectively with Plan Medical Directors
  • M.P.H. or other advanced degree is desired
  • Written communication and presentation skills


People Management

  • No
#J-18808-Ljbffr

  • Washington, United States Regeneron Pharmaceuticals Inc. Full time

    As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within Gastroenterology and Allergy to support the clinical and business objectives across the product life cycle. We deliver strategic and operational support by establishing, developing and maintaining scientific exchange with medical specialists,...


  • Washington, United States Beckman Coulter Diagnostics Full time

    At first glance, you’ll see that for more than 80 years we’ve been dedicated to advancing and optimizing the laboratory to move science and healthcare forward. Join a team where you can be heard, be supported, and always be yourself. We’re building a culture that celebrates backgrounds, experiences, and perspectives of all our associates. Look again...


  • Washington, United States CareerBuilder Full time

    The Executive Director supports strategic and operational leadership of the BCBSA Clinical Team, including support of the creation of the clinical operations strategy and delivery of value-added resources and tools. This role provides clinical expertise and population health thought leadership in support of delivering more affordable and quality care for all...


  • Washington, United States Baxter Full time

    Vantive: A New Company Built On Our Legacy Baxter is on a journey to separate our ~$5B Kidney Care segment into a standalone company. Vantive* will build on our nearly 70-year legacy in acute therapies and home and in-center dialysis to provide best-in-class care to the people we serve. We believe Vantive will not only build our leadership in the kidney care...


  • Washington, Washington, D.C., United States Non-Departmental Agency Full time

    Summary The Federal Retirement Thrift Investment Board (FRTIB) is looking for a highly qualified and motivated individual to serve as the Director of External Affairs.This Job Opportunity Announcement (JOA) may be used to fill other Director of External Affairs, ES positions within the FRTIB in the same geographical location with the same qualifications and...


  • Washington, United States Baxter Full time

    Vantive: A New Company Built On Our Legacy Baxter is on a journey to separate our ~$5B Kidney Care segment into a standalone company. Vantive* will build on our nearly 70-year legacy in acute therapies and home and in-center dialysis to provide best-in-class care to the people we serve. We believe Vantive will not only build our leadership in the kidney...


  • Washington, United States Tempus Full time

    Passionate about precision medicine and advancing the healthcare industry? Recent advancements in underlying technology have finally made it possible for AI to impact clinical care in a meaningful way. Tempus' proprietary platform connects an entire ecosystem of real-world evidence to deliver real-time, actionable insights to physicians, providing critical...


  • Washington, United States Jewish Institute for National Security of America (JINSA) Full time

    DescriptionJINSA seeks an experienced, creative, and hard-working individual to join our team as Director of Government Affairs. This is a full-time position, with excellent benefits, and will report to the Vice President, Government Affairs. Salary is commensurate with experience.DutiesIdentify, build, and maintain relationships with key congressional...


  • Washington, Washington, D.C., United States Gilead Sciences, Inc. Full time

    Senior Director, Government Affairs, ICRUnited States - District of Columbia - WashingtonGilead Sciences, Inc. is a research-based bio-pharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. With each new discovery and investigational drug candidate, we seek to improve the care of patients...


  • Washington, United States AFT Full time

    **Special note**: The** Director of Media Affairs** will manage and co-lead a team dedicated to implementing press and public relations strategies at the national and local level to tell the stories of members and promote AFT priorities and campaigns. **Position Summary**: Under the general supervision of the National Press Secretary, the Director of Media...


  • Washington, United States InsideHigherEd Full time

    Director of Communications and External AffairsAmerican Sociological AssociationThe American Sociological Association (ASA) invites applications for the position of Director of Communications and External Affairs. During this critical period in American history, a time characterized by racial and gender divisions, increasing economic inequality, health...


  • Washington, United States MFA Full time

    Position Title: Coordinator, External Affairs Location: Washington, DC (Hybrid) Reports to: Executive Vice President and Managing Director, Head of Global External Affairs Company Background: MFA, based in Washington, DC, New York, Brussels, and London, represents the global alternative asset management industry. MFA’s mission is to advance the ability of...


  • Washington, United States MFA Full time

    Position Title: Coordinator, External Affairs Location: Washington, DC (Hybrid) Reports to: Executive Vice President and Managing Director, Head of Global External Affairs Company Background: MFA, based in Washington, DC, New York, Brussels, and London, represents the global alternative asset management industry. MFA’s mission is to advance the ability of...


  • Washington, United States MFA Full time

    Position Title: Coordinator, External Affairs Location: Washington, DC (Hybrid) Reports to: Executive Vice President and Managing Director, Head of Global External Affairs Company Background: MFA, based in Washington, DC, New York, Brussels, and London, represents the global alternative asset management industry. MFA’s mission is to advance the ability of...


  • Port Washington, United States Drive Medical Full time

    Job DescriptionJob DescriptionWho is Drive DeVilbiss…Drive DeVilbiss has become a leading manufacturer of medical products with a strong and consistent track record of growth achieved both organically and through acquisitions. We are proud of our high-quality, diverse product portfolio, channel footprint and global operating scale. Our products are sold...


  • Washington, United States The George Washington University Full time

    Position Description Summary: The George Washington University’s Elliott School of International Affairs invites applications for a full-time, non-tenure-accruing, faculty position to serve as Director of the school’s M.A. program in International Affairs. We invite applications from individuals who have substantial academic or professional...


  • Washington, Washington, D.C., United States Non-Departmental Agency Full time

    Summary The Office of Public Affairs (OPA) of the Commodity Futures Trading Commission (CFTC or Commission) is the primary public-facing office that provides honest, timely and useful information across all communication platforms in order to serve internal and external stakeholders in all sectors to accomplish and facilitate CFTC's mission. OPA proactively...

  • Managing Director

    3 weeks ago


    Washington, Washington, D.C., United States Mercury Public Affairs Full time

    The Managing Director is a full-time position that supports public affairs and business advisory efforts and engagement for both international and domestic client accounts and is responsible for generating new business. A Managing Director plays an integral role in crafting and executing strategies that help Mercury's clients effectively advance their...


  • Washington, United States Consumer Healthcare Products Association Full time

    Job Summary: **Responsibilities**: - Develop and implement regulatory strategies to ensure compliance with industry standards and regulations - Monitor and interpret regulatory developments and communicate potential impact to stakeholders - Lead interactions with regulatory agencies, including submissions, meetings, and negotiations - Collaborate with...


  • Washington, United States International Fresh Produce Association Full time

    Position Summary The Director, Political Affairs & Action fills a critical role for the association by leading political advocacy and action among elected officials, IFPA, and its members. The Director is responsible for leading the planning, coordination, and management of IFPA's political activity and compliance with rules governing political activity. The...