Medical Director of Clinical Strategy

2 days ago


Chicago, Illinois, United States 001_BCBSA Blue Cross and Blue Shield Association Full time
Job Title: Executive Medical Director, Medical Affairs

At 001_BCBSA Blue Cross and Blue Shield Association, we are seeking an experienced Executive Medical Director to support the strategic and operational leadership of our Clinical Team. This role will provide clinical expertise and thought leadership in support of delivering more affordable and quality care for all members.

Key Responsibilities:
  • Provide strategic insight and tactical direction to support cross-functional clinical projects and initiatives that directly impact our agenda, NorthStar, and strategic pillars.
  • Partner with peer colleagues and cross-functional teams to provide strategic medical direction to support the needs of the business.
  • Develop and implement innovative solutions that enable our plans to be proactive and industry leaders.
  • Collaborate with internal and external stakeholders to drive clinical process optimization and financial performance.
  • Manage within budget to forecast and strategic workforce planning.
Requirements:
  • MD; M.D. or D.O., Board certified and unencumbered license
  • Masters Degree - M.P.H. or other advanced degree is desired
  • A minimum of 5 years health plan experience, as Medical Director or higher
  • Experience in management of individuals with advanced training including MDs and/or PhDs
Preferred Skills:
  • Expert knowledge of medical cost and quality management especially Medicare Stars
  • Knowledge of Plan policy implementation, claims operations, and provider and account relations
  • Highly skilled at working cross-functionally with key internal and external stakeholders
  • Excellent written communication and presentation skills


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