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Director Jobs in Tucson az

Last updated: 17 hours ago
  • Promoted
Medical Director

Medical Director

Blue Cross Blue Shield of Arizonaw rizz, AZ, US
Full-time
Show moreLast updated: 19 days ago
  • Promoted
  • New!
MEDICAL DIRECTOR

MEDICAL DIRECTOR

Direct JobsAZ, United States
$140,000.00–$200,000.00 yearly
Full-time
Show moreLast updated: 17 hours ago
  • Promoted
  • New!
CLINICAL DIRECTOR

CLINICAL DIRECTOR

Buena Vista Recovery LlcAZ, United States
Full-time
Show moreLast updated: 17 hours ago
  • Promoted
Creative Director

Creative Director

Identified Talent Solutionsw rizz, AZ, United States
Full-time
Show moreLast updated: 2 days ago
  • Promoted
Plant Director

Plant Director

Guided Search PartnersTucson, AZ, United States
$175,000.00–$200,000.00 yearly
Full-time
Show moreLast updated: 19 days ago
  • Promoted
  • New!
CLINICAL DIRECTOR

CLINICAL DIRECTOR

Copa Health Inc.AZ, United States
Full-time
Show moreLast updated: 17 hours ago
  • Promoted
  • New!
CLINICAL DIRECTOR

CLINICAL DIRECTOR

Meaningful Life Behavioral HealthAZ, United States
Full-time
Show moreLast updated: 17 hours ago
  • Promoted
Director, Operations

Director, Operations

Samuel, Son & Co.Tucson, AZ, United States
Show moreLast updated: 25 days ago
  • Promoted
Scientific Director -

Scientific Director -

Critical Path Institute (C-Path)Tucson, AZ, US
Show moreLast updated: 12 days ago
Regional Medical Director

Regional Medical Director

JobotTucson, AZ, United States
Full-time +1
Show moreLast updated: 1 day ago
  • Promoted
District Director

District Director

Greater Phoenix ChamberAZ, United States
Full-time
Show moreLast updated: 27 days ago
  • Promoted
Nurse Director

Nurse Director

Atria Senior LivingTucson, AZ, US
Full-time
Show moreLast updated: 7 days ago
  • Promoted
Imaging Director

Imaging Director

KA Recruiting Inc.Tucson, Arizona, United States
Full-time +1
Show moreLast updated: 8 days ago
  • Promoted
Director, Operations

Director, Operations

Samuel, Son & Company, LtdTucson, AZ, United States
Full-time
Show moreLast updated: 7 days ago
  • Promoted
Medical Director

Medical Director

Desert Hills Animal Clinicw rizz, AZ, United States
Full-time
Show moreLast updated: 1 day ago
Clinical Director

Clinical Director

USPITucson, Arizona
Full-time
Show moreLast updated: 30+ days ago
  • Promoted
Sales Director

Sales Director

CelesticaTucson, Arizona, US
$140,000.00–$165,000.00 yearly
Full-time
Show moreLast updated: 7 days ago
Medical Director

Medical Director

Blue Cross Blue Shield of Arizonaw rizz, AZ, US
19 days ago
Job type
  • Full-time
Job description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

This position is remote / hybrid within the state of AZ only

PURPOSE OF THE JOB

Direct, lead and provide professional oversight for medical management activities related to the utilization, case, disease, and quality management activities. Support collaborative relationships with physicians and hospitals to achieve mutually acceptable business goals and to ensure that medical policies, procedures, and the activities / actions of the division on behalf of the corporation are consistent with the standards of good medical practice in the community.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

  • 3 years of experience in a clinical setting
  • 1 year of experience in a physician leadership role, including quality review, utilization review, and other managed care functions
  • Medical Degree
  • Active, current, and unrestricted license to practice medicine in the State of Arizona.
  • Board Certification

PREFERRED QUALIFICATIONS

  • 3 years of experience in a primary care field

    • ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

  • Provide direction, support medical expertise, and oversight to areas within the Health Services Division including utilization management, quality management, case management, medical claims review, and pharmacy management.
  • Provide consultative services throughout the corporation, including for the Marketing, Sales, Legal, Actuarial, Network Management, Internal Audit, Finance, and Claims Divisions.
  • Communicate with customers regarding their difficult and costly cases, including recommendations and showing the impact of BCBSAZ interventions.
  • Seek to improve department / division efficiency through effective use of information system tools and processes to reduce healthcare costs, increase quality of care and service, and reduce administrative expense.
  • Review, and implement medical policies and other medical decision-making policies or procedures.
  • Represent BCBSAZ at professional organizations and acts as liaison with individual health care professionals.
  • Provide professional oversight for various clinical peer committees.
  • Participate in the appeals and grievance processes to assure timely and accurate responses to members and providers.
  • Provide written information to members and providers through letters and articles in member and provider newsletters and other publications.
  • Provide leadership to staff and other professionals through clinical excellence, professional behavior and innovative thinking.
  • Monitor quality performance measures, develop and maintain effective workflows, and seek to maximize system efficiencies.
  • Identify opportunities to achieve administrative efficiencies while maintaining service.
  • Maintain effective working relationships to ensure teamwork in achieving corporate goals.
  • Coordinate activities between multiple divisions to achieve desired results.
  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
  • Perform all other duties as assigned.

    • COMPETENCIES

    REQUIRED COMPETENCIES

  • Strong written and verbal communication.
  • Intermediate skill in the use of office equipment, including copiers, fax machines, scanners, and telephones.
  • Intermediate skills in word processing, spreadsheet, and database software.
  • Intermediate PC proficiency.
  • Interpersonal skills that allow for harmonious relationships with providers, members, and coworkers.

    • Our Commitment

    AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

    Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

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