Lead Physician for Medicare Advantage Program

2 weeks ago


Tennessee Ridge, Tennessee, United States Jackson Physician Search Full time
Position Overview:

BlueCross BlueShield Tennessee is seeking a qualified individual to take on the role of Lead Medical Director for their Medicare Advantage initiative. This position offers the flexibility of remote work, allowing candidates to reside anywhere within the United States, with certain state restrictions.

Key Responsibilities:

  • Drive initiatives aimed at enhancing quality, utilization, patient outcomes, and overall member satisfaction.
  • Manage a team of over five medical professionals, acting as a vital link between various departments including operations, case management, and provider outreach.
  • Engage directly with the Chief Medical Officer, providing insights and recommendations to shape medical strategies.
  • Enjoy a competitive compensation package with potential earnings in the high $300,000s, complemented by a comprehensive benefits offering.

Required Qualifications:

  • Demonstrated experience in the Medicare Advantage sector within the insurance field is essential.
  • Proficiency in Utilization Management is highly regarded.
  • Background in Family Medicine, Internal Medicine, or Emergency Medicine is preferred but not mandatory.
  • Previous leadership experience overseeing healthcare providers is required.
  • An active medical license in Tennessee is mandatory.


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