Associate Medical Director

🔥 12 hours ago

🏈 Alabama, Arizona, +21 more states – Remote

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💵 $191.2k - $305.8k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

👻 Ghost score 0%

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Logo of Blue Cross NC

Blue Cross NC

5001 - 10000 employees

Founded 1933

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross NC is a health insurance provider that offers a range of health plans and services to individuals and groups. The company focuses on delivering quality healthcare coverage and improving health outcomes for its members through innovative health programs and services. Blue Cross NC is committed to enhancing access to affordable healthcare while supporting the health and wellness of the communities it serves.

📋 Description

• Serve as an interface between the company and physicians, providers, employers, community groups, and members • Utilize clinical knowledge and experience to support value-based strategies, clinical operations, and high-quality, cost-effective care • Develop, collaborate on, and drive Health Care and organizational strategies • Support medical reimbursement and policy, care management, healthcare programs, network credentialing, and quality model design and analysis • Develop strategic partnerships with internal business partners and external clients • Lead community outreach and relationship building • Evaluate and manage vendors and solution partners • Conduct ongoing provider engagement • Gather, manage, and analyze clinical and other data to improve health outcomes and financial performance • Discuss data and performance with providers, employers, accreditors, and regulators • Represent BCNC through presentations, speaking engagements, and advisory groups • Publish content focused on improving accessibility, quality, and affordability • Design payment models, identify market trends, and evaluate investment and partnership opportunities

🎯 Requirements

• MD or DO from an accredited medical school • Completion of residency training program • 5+ years of experience in related field • Current North Carolina medical license • Board certification in ABMS/AOA recognized clinical specialty is required • Clinical experience • Clinical leadership • Health care compliance • Healthcare management and transformation • Medical decision making and medical knowledge • Policy development

🏖️ Benefits

• Annual Incentive Bonus based on annual corporate goal achievement and individual performance • 401(k) with employer match • Paid Time Off (PTO) • Competitive health benefits • Wellness programs • Robust Total Rewards package

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