Das ist der Job
Takes a lead role in outreach and relationship building across the community (i.e. providers, health systems, commu
Darum lohnt es sich
Job Description The Medical Director brings a unique set of knowledge and skills to the business of Blue Cross North Carolina and frequently serves as an interface between the company and physicians, providers, employer and community groups, and members as needed.
Utilizes clinical knowledge and experience to support value-based strategies, clinical operations and our organizational pursuit of high quality and cost-effective care for members.
The application of a Medical Director’s knowledge and clinical skills will vary across the Health Care division, dependent on focus areas identified by the business area supported.
Leadership Skills Project planning and management Core Skills
Strategy
Develops, collaborates and/or drives strategy and approach for varied Health Care and/or organizational initiatives (i.e. sales management strategies, behavioral health strategies, new health care delivery strategies)
Operations
Medical reimbursement and policy Care management (utilization management, case management, PA, appeals) Healthcare programs (disease management, Moonshots) Network support (Credentialing) Quality model design and analysis
Partnership
Develop strategic partnerships with internal business partners and external clients to support value-based agreements and drive better consumer and provider experience.
