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Medical director Jobs in Gilbert az

Last updated: 11 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: 21 hours ago
  • Promoted
Licensed Medical Director

Licensed Medical Director

VirtualVocationsMesa, Arizona, United States
Full-time
Show moreLast updated: 2 days ago
  • Promoted
  • New!
Regional Medical Director

Regional Medical Director

JobotGilbert, AZ, United States
Full-time +1
Show moreLast updated: 11 hours ago
  • Promoted
Regional Medical Director - Psychiatrist

Regional Medical Director - Psychiatrist

Serenity Healthcarew rizz, AZ, United States
Show moreLast updated: 29 days ago
  • Promoted
Regional Medical Director - Psychiatrist

Regional Medical Director - Psychiatrist

Serenity Mental Health Centersw rizz, AZ, United States
Show moreLast updated: 30+ days ago
  • Promoted
Medical Director

Medical Director

NVAChandler, AZ
Show moreLast updated: 11 days ago

Show moreLast updated: 30+ days ago
Per Diem Medical Director

Per Diem Medical Director

BAART ProgramsChandler, Arizona
Show moreLast updated: 30+ days ago
  • Promoted
Regional Medical Director

Regional Medical Director

Arizona Alliance for Community Health CentersAZ, United States
Full-time
Show moreLast updated: 25 days ago
  • Promoted
Medical Director (Maricopa County)

Medical Director (Maricopa County)

SCAN Health Planw rizz, AZ, United States
Full-time
Show moreLast updated: 4 days ago
Medical Director

Medical Director

VetProCentralChandler, AZ, United States
Full-time
Show moreLast updated: 29 days ago
Veterinary Medical Director

Veterinary Medical Director

Talently RecruitingChandler, AZ, us
$150,000.00–$180,000.00 yearly
Full-time
Show moreLast updated: 16 days ago
Medical Director

Medical Director

VCATempe, AZ
Full-time
Show moreLast updated: 29 days ago
Medical Director (Medical Affairs)

Medical Director (Medical Affairs)

CVS HealthArizona, Work At Home, US
Remote
Full-time
Show moreLast updated: 30+ days ago
Medical Director Veterinary Medicine

Medical Director Veterinary Medicine

Titan Placement GroupChandler, AZ, United States
$160,000.00–$180,000.00 yearly
Permanent
Show moreLast updated: 22 days ago
  • Promoted
Medical Director

Medical Director

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

Medical Director Physician

SimplyApplyMesa, AZ, United States
Full-time
Show moreLast updated: 2 days ago
Regional Medical Director

Regional Medical Director

jobbotGilbert, AZ
Permanent
Show moreLast updated: 29 days ago
Medical Director

Medical Director

Ocotillo Animal Clinic and Pet Resort.Chandler, Arizona
Show moreLast updated: 30+ 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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