Associate Medical Director
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Job Description
Associate Medical Director applying clinical expertise to value-based strategies and operations. Supporting providers, healthcare programs, data-driven improvement, and healthcare transformation at Blue Cross NC.
Responsibilities:
- 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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