Medical Director Operations

Your RoleThe Medical Director Operations - CalPERS will play a pivotal role in ensuring Blue Shield of California's medical management team remains at the forefront of medical, medication, and payment policy innovation. Reporting to the Vice President Medical Management, this position will deliver and collaborate on clinical review activities, including...

Job SummaryWe are seeking a highly skilled Medical Director to lead our CalPERS operations team. As a key member of our Medical Management team, you will be responsible for delivering and collaborating on clinical review activities, including management of physician processes in support of utilization management and transactional functions for CalPERS...

About the RoleThe Medical Director, Operations - CalPERS will play a pivotal role in ensuring that Blue Shield of California's medical management team remains at the forefront of medical, medication, and payment policy innovation. This position will report to the Vice President, Medical Management, and will be responsible for delivering and collaborating on...

Job Title: Medical Director, OperationsBlue Shield of California is seeking a highly skilled Medical Director, Operations to join our team. As a key member of our Medical Management team, you will play a critical role in ensuring that our organization is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based...

About the RoleWe are seeking a highly skilled Medical Director to join our team at Blue Shield of California. As a key member of our Medical Management department, you will play a critical role in ensuring our members receive the right level of care, at the right time, and at the right cost.Key ResponsibilitiesDevelop and deploy medical management...

Job SummaryWe are seeking a highly skilled Medical Director Operations to join our team at Blue Shield of California. As a key member of our Medical Management team, you will play a critical role in ensuring that our organization is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system...

Your RoleThe Medical Director, Operations (Behavioral Health) will be a key member of the Medical Management team at Blue Shield of California. This team is responsible for ensuring that the organization is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in California.In this role,...

About the RoleWe are seeking a highly skilled and experienced Medical Director, Operations - CalPERS to join our team at Blue Shield of California. As a key member of our Medical Management team, you will play a critical role in ensuring that we are on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based...

Job SummaryThe Medical Director, Operations (Behavioral Health) will play a critical role in ensuring that Blue Shield of California is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in California.Key ResponsibilitiesReview pre- and post-service behavioral health service requests and...

About the RoleThe Medical Director, Operations Lead provides clinical leadership within the Blue Shield of California Medical Management department for all clinical review activities. This includes management of physician processes in support of utilization management and transactional functions. These functions include performance of pre-service, concurrent...

Job SummaryWe are seeking a highly skilled Medical Director, Operations Lead to join our team at Blue Shield of California. This is a critical leadership role that requires a strong clinical background, excellent communication skills, and the ability to drive strategic initiatives.Key ResponsibilitiesProvide clinical leadership and oversight to our Medical...

About the RoleThe Medical Director, Operations will play a key role in ensuring the delivery of high-quality healthcare services to Blue Shield of California members. This position will be responsible for reviewing and making determinations regarding member and provider requests for service, including prior authorization, concurrent reviews, retrospective...

About the RoleThe Medical Director, Operations will play a key role in ensuring the delivery of high-quality healthcare services to Blue Shield of California members. This position will be responsible for reviewing and making determinations regarding member and provider requests for service, including prior authorization, concurrent reviews, retrospective...

About the RoleThe Medical Director, Operations (Behavioral Health) will play a critical role in ensuring that Blue Shield of California remains at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in California.This position will report to the Senior Medical Director, Behavioral Health and...

Job SummaryWe are seeking a highly skilled Medical Director, Operations to join our team at Blue Shield of California. This is a critical role that requires a strong clinical background, excellent leadership skills, and a deep understanding of behavioral health services and regulations.Key ResponsibilitiesReview and render decisions on pre- and post-service...

About UsTeledyne Defense Electronics is a leading provider of sophisticated microwave/RF components and integrated assemblies for demanding challenges. With over 50 years of experience, our products and capabilities are sought after by civilian and military organizations worldwide.Job SummaryThe Vice President of Operations/Site Director is a key member of...

Job SummaryBlue Shield of California is seeking a highly skilled Medical Director, Operations to join our team. As a key member of our Medical Management team, you will play a critical role in ensuring that our organization is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in...

About the RoleThe Medical Director of Medical Policy will report to the Vice President of Medical Management at Blue Shield of California. In this role, you will be accountable for working in partnership with other leaders to provide clinical support for all medical, medication, and payment policy initiatives.Key ResponsibilitiesProvide clinical oversight,...

Job SummaryBlue Shield of California is seeking a highly skilled Medical Director, Medical Policy and Innovation to lead our medical policy and payment initiatives. As a key member of our Medical Management team, you will be responsible for providing clinical oversight and input for medical policy operations, chairing the Medical Policy Committee, and...

About the RoleBlue Shield of California is seeking a highly skilled Medical Director to lead our Medical Policy and Innovation team. As a key member of our Medical Management team, you will play a critical role in shaping our medical, medication, and payment policies to drive a value-based healthcare system in California.Key ResponsibilitiesClinical Policy...