Regional Medical Director
2 months ago
Your Role
The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs.
In this role, you will be responsible for clinical, utilization, quality and compliance for assigned medical groups. This involves intensive data analysis and presentations. In addition, chairing committees and leading system-wide clinical initiatives as assigned. You will manage RN Clinical Program Managers who will support the work. The Regional Medical Director will report to the Senior Regional Medical Director.
Your Work
In this role, you will:
- Accountable for utilization, clinical, quality and compliance for assigned medical groups/IPAs
- Lead and contribute to regional and sometimes system-wide initiatives to support BSC priorities
- Participate in and/or lead assigned committees such as delegation oversight
- Lead team of RN Clinical Program Managers
- Be a provider-facing clinical leader and representative of BSC
Your Knowledge and Experience
- 2 years of previous medical leadership experience
- Minimum of 5 years direct patient care experience
- Medical degree (M.D./D.O.)
- Completed residency preferably in adult based primary care specialty (e.g. internal medicine or family practice)
- Active, unrestricted California State Medical License required
Preferred:
- Experience in both health plan and provider organization leadership
- Population health management involving deep data analytic skills
- Strong communication skills, leading meaningful conversations with providers, driving to results
Pay Range:
The pay range for this role is: $ 254545.00 to $ 360000.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
#LI-SS8
-
Regional Medical Director
4 weeks ago
Woodland Hills, United States Blue Shield Of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
1 month ago
Woodland Hills, United States Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
3 weeks ago
Woodland Hills, United States Blue Shield of California Full timeRegional Medical Director at Blue Shield of California summary: The Regional Medical Director is responsible for overseeing population health and utilization outcomes for assigned medical groups and IPAs. This role involves intensive data analysis, leading clinical initiatives, and managing a team of RN Clinical Program Managers. The position requires a...
-
Regional Medical Director
2 months ago
Woodland Hills, United States Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
4 weeks ago
Woodland Hills, United States Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
4 weeks ago
Woodland Hills, United States Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
4 weeks ago
Woodland Hills, United States Blue Shield Of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
4 weeks ago
Woodland Hills, United States Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
4 weeks ago
Woodland Hills, United States Blue Shield Of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
1 month ago
Woodland Hills, United States Blue Shield Of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
4 weeks ago
Woodland Hills, United States Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
2 months ago
Woodland Hills, CA, United States Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director Lead
3 weeks ago
Woodland Hills, California, United States Blue Shield of California Full timeOverviewAt Blue Shield of California, we are seeking an exceptional medical leader to join our team as a Regional Medical Director. This critical role plays a key part in shaping the future of healthcare delivery in California.Salary RangeThe salary for this position ranges from $254,545.00 to $360,000.00 annually, depending on experience and location within...
-
Regional Medical Director
1 month ago
Woodland Hills, CA, United States Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
2 weeks ago
Woodland Hills, CA, United States Blue Shield of California Full timeRegional Medical Director at Blue Shield of California summary: The Regional Medical Director is responsible for overseeing population health and utilization outcomes for assigned medical groups and IPAs. This role involves intensive data analysis, leading clinical initiatives, and managing a team of RN Clinical Program Managers. The position requires a...
-
Regional Medical Director
1 month ago
Woodland Hills, CA, United States Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
1 month ago
Woodland Hills, CA, United States Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
1 month ago
Woodland Hills, CA, United States Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Regional Medical Director
2 months ago
United States, CA, Woodland Hills Blue Shield of California Full timeYour Role The Regional Medical Director Team (Provider Performance Clinical Team) is a team of licensed medical directors and clinical program managers who are accountable for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will be responsible for clinical, utilization, quality and compliance for...
-
Clinical Director of Medical Excellence
3 weeks ago
Woodland Hills, California, United States Blue Shield of California Full timeAbout the RoleWe are seeking a highly skilled Regional Medical Director to join our team at Blue Shield of California.This is an exceptional opportunity for a seasoned medical leader to drive clinical excellence and population health management across assigned medical groups and IPAs.About YouYou have a minimum of 5 years direct patient care experience,...
