Medical Director Leader for Population Health

3 weeks ago


Canoga Park, California, United States Blue Shield of California Full time
Overview

The Regional Medical Director Team at Blue Shield of California is responsible for population health and utilization results for strategic partner medical groups and IPAs. In this role, you will lead clinical, utilization, quality, and compliance efforts for assigned medical groups, working closely with RN Clinical Program Managers and other stakeholders.

Job Summary

We are seeking a highly experienced Medical Director to join our team. The ideal candidate will have a strong background in medical leadership, with a minimum of 5 years direct patient care experience and a medical degree (M.D./D.O.). A completed residency in adult-based primary care specialty (e.g., internal medicine or family practice) is also required. Active, unrestricted California State Medical License is necessary.

Responsibilities
  • Accountable for utilization, clinical, quality, and compliance for assigned medical groups/IPAs
  • Lead and contribute to regional and system-wide initiatives to support business 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 Blue Shield of California
Requirements
  • 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 Qualifications
  • 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
Salary Information

The pay range for this role is $254,545.00 to $360,000.00 per year, based on factors such as the candidate's experience, location (California), and current employee salaries for similar roles. This salary range represents the pay grade for this position and many others at Blue Shield of California. Please note that salaries are based on a variety of factors and may vary depending on individual circumstances.



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