Medical Director

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🕒 April 9

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Blue Cross and Blue Shield of Louisiana

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1934

⚕️ Healthcare Insurance

Healthcare Insurance

Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross Blue Shield Association, offering a range of health insurance products and services in the state of Louisiana. The company provides health, dental, and travel insurance options, including Medicare Advantage plans such as HMO and PPO. They focus on delivering comprehensive healthcare coverage through various plans to meet varying customer needs, while partnering with doctors, hospitals, and clinics to ensure quality care and support. Additionally, the company emphasizes wellness programs, cost-saving opportunities, and accessibility for its members.

📋 Description

• Promote and support the BlueCross and BlueShield of Louisiana (BCBSLA) Mission Statement • Review treatment procedures and services to ensure that they are within established guidelines or supported by generally accepted medical evidence • Provide direction to operations as applicable, including utilization activities • Facilitate all physician and provider committees as needed • Provide advice on external contractual benefit issues

🎯 Requirements

• Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) required • 7 years of clinical practice experience is required • 3 years of post graduate experience with direct patient care required; prefer 5 years of experience • Administrative experience in a health plan and/or a working knowledge of the insurance industry preferred • Experience with external accreditation bodies; JCAHO, URAC, or NCQA preferred • Medicare Advantage experience is preferred • Excellent communication, presentation, interpersonal and human relation skills are required • Microsoft Office software Word, Excel, Outlook, PowerPoint proficiency required

🏖️ Benefits

• We take great strides to ensure our employees have the resources to live well • Be healthy • Continue learning • Develop skills • Grow professionally • Serve our local communities