Clinical Physician Executive Leader

4 weeks ago


Baltimore, Maryland, United States CareFirst BlueCross BlueShield Full time

CareFirst BlueCross BlueShield is seeking a highly skilled Clinical Physician Executive Leader to join our team. As a key member of our leadership team, you will be responsible for providing strategic clinical direction for all programs promoting health equity, improved quality of care, and managing cost of care.

Key Responsibilities:

  • Provide expert clinical consultation to executives throughout the organization.
  • Oversight and direction to a team of physicians dedicated to CareFirst's mission to drive affordability, access, quality, and equity in healthcare.
  • Play a highly influential and advisory role providing clinical and quality direction and oversight to care support programs.
  • Contribute to the development of strategic planning for existing and expanding business; recommend changes in program content in concurrence with changing markets and technologies.
  • Assist as a strategist and counselor to CareFirst's corporate development and innovation team; participate in the assessment of strategic acquisitions which close current service offering gaps.
  • Serve as medical subject matter expert, providing scientific/medical guidance to business initiatives/investments with the lens of the customer/patient experience.
  • Represent CareFirst, as lead physician and clinical spokesperson to key local and national stakeholders, and to key regulatory entities.

Requirements:

  • Medical Degree in primary care specialty from an accredited medical school and an American residency in a primary care specialty.
  • Current medical license in the State of Maryland (or credentials to apply for and be granted a Maryland license).
  • Board certification.
  • Minimum of 8 years clinical and administrative experience in a managed care setting.
  • Previous experience as medical director for a healthcare company.
  • At least 5 years as a leader of people and teams.

Preferred Qualifications:

  • In-depth knowledge of Medicaid and Medicare related programs in a health plan/payor environment, with solid understanding of Stars and risk adjustment.
  • Prior experience with operations management.
  • Previous experience collaborating with formal health economics function within corporate environment.
  • Ability to expand in scope and clinical leadership oversight as business needs evolve.

Why Join Us:

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. We offer a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).


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