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Medical Director, Line of Business

Blue Shield of California

Placerville, CA
3 days ago

Job Description

As the Medical Director for National Accounts, you will drive strategic initiatives to enhance growth and market share, providing clinical direction and advisory services to improve care quality and reduce costs. Collaborate with clients and internal teams to address healthcare solutions and member engagement effectively.

Key Responsibilities

  • Lead client and producer facing activities including presentations and account services meetings.
  • Work collaboratively to resolve client service issues, emphasizing clinical issues.
  • Act as a strategic thought-partner for key clients.
  • Plan and develop Healthcare Solutions materials for clients.
  • Support ASO Line of Business activities including business planning and development.

Required Qualifications

  • Medical Degree (M.D./D.O.)
  • Completed residency preferably in adult based primary care specialty
  • Active, unrestricted California State Medical License
  • Minimum 10 years managed care experience
  • At least five years clinical experience
  • Experience with California managed care marketplace
  • Previous experience in national, complex account management support

Preferred Qualifications

  • Experience supporting Administrative Services Only (ASO) lines of business
  • Previous experience in a similar sales role
  • Prior experience as a people manager