Regional Medical Director
3 weeks 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
2 days 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
3 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
3 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
3 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 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
18 hours 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
7 hours 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, 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
3 weeks 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 day 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...
-
Primary Care Regional Medical Director
3 weeks ago
Woodland Hills, CA, United States Blue Shield of California Full timeThe 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...
-
Regional Medical Director
2 days 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 day 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
4 weeks 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...
-
Regional Medical Director
2 days 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
4 weeks ago
Beverly Hills, California, United States Sollis Health Full timeJob SummaryWe are seeking a highly skilled and experienced Regional Medical Director to lead our Southern California Region at Sollis Health. As a key member of our leadership team, you will be responsible for overseeing three locations, Beverly Hills, Santa Monica, and Manhattan Beach, as well as a house calls division and a virtual care division.Key...
-
Medical Director, Utilization Management
3 days ago
Woodland Hills, United States Blue Shield of California Full timeYour Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization Management - will report to the Sr. Medical Director, Utilization Management. In this role you will deliver and...
-
Regional Medical Director
4 weeks ago
Beverly Hills, California, United States Sollis Health Full timeJob Summary: We are seeking a highly skilled and experienced Regional Medical Director to lead our Southern California region. As a key member of our leadership team, you will be responsible for overseeing the clinical and administrative aspects of our medical centers, ensuring the highest standards of patient care and quality service.Key...
-
Medical Director, Utilization Management
15 hours ago
Woodland Hills, United States Blue Shield of California Full timeYour Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization Management - will report to the Sr. Medical Director, Utilization Management. In this role you will deliver and...
