MEDICAL DIRECTOR, MEDICAL POLICY
Company: Blue Shield Of California
Location: Rancho Cordova
Posted on: October 3, 2024
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Job Description:
Job Description
Your Role
The Medical Management team ensures that Blue Shield is on the
cutting edge of medical, medication, and payment policy to
accelerate the emergence of a value-based health care system in
California. The Medical Director of Medical Policy will report to
the Vice President of Medical Management. In this role you will be
accountable for working in partnership with other leaders to
provide clinical support for all medical, medication, and payment
policy initiatives. In addition, you will be the clinical driver
for medical policy innovations, supporting medical payment
operations, leading the BSC Pharmacy & Therapeutics, Medical and
Payment Policy Committees, and functioning as the in-house expert
and trainer for staff related to medical, medication, and payment
policy, pricing, and coding.
Your Work
In this role, you will:
Your Knowledge and Experience
The pay range for this role is: $ 155331.00 to $ 325743.00 for
California.
Note:
Please note that this range represents the pay range for this and
many other positions at Blue Shield that fall into this pay grade.
Blue Shield salaries are based on a variety of factors, including
the candidate's experience, location (California, Bay area, or
outside California), and current employee salaries for similar
roles.
#LI-SS8
About the Team
Blue Shield of California's mission is to ensure all Californians
have access to high-quality health care at a sustainably affordable
price. We are transforming health care in a way that genuinely
serves our nonprofit mission by lowering costs, improving quality,
and enhancing the member and physician experience.
To fulfill our mission, we must ensure a diverse, equitable, and
inclusive environment where all employees can be their authentic
selves and fully contribute to meet the needs of the multifaceted
communities we serve. Our continued commitment to diversity,
equity, and inclusion upholds our values and advances our goal of
creating a healthcare system that is worthy of our family and
friends while addressing health disparities, promoting social
justice, and integrating health equity through our products,
business practices, and presence as a corporate citizen.
Blue Shield has received awards and recognition for being a
certified Fortune 100 Best Companies to Work, Military Friendly
Employer, People Companies that Care, a Leading Disability
Employer, and one of California's top companies in volunteering and
giving. Here at Blue Shield, we strive to make a positive change
across our industry and communities - join us!
Our Values:
Blue Shield of California is dedicated to making work-life balance
a reality. Whether you prefer to work in an office or from home, we
understand flexibility is more important than ever. That's why Blue
Shield is a hybrid company, offering you the opportunity to decide
where you can do your best and most meaningful work.
Two ways of working: Hybrid (our default) and office
Physical Requirements:
Office Environment - roles involving part to full time schedule in
Office Environment. Due to the current public health emergency in
California, Blue Shield employees are almost all working remotely.
Based in our physical offices and work from home office/deskwork -
Activity level: Sedentary, frequency most of work day.
Please click here for further physical requirement detail.
Equal Employment Opportunity:
External hires must pass a background check/drug screen. Qualified
applicants with arrest records and/or conviction records will be
considered for employment in a manner consistent with Federal,
State and local laws, including but not limited to the San
Francisco Fair Chance Ordinance. All qualified applicants will
receive consideration for employment without regards to race,
color, religion, sex, national origin, sexual orientation, gender
identity, protected veteran status or disability status and any
other classification protected by Federal, State and local
laws.
Keywords: Blue Shield Of California, Palo Alto , MEDICAL DIRECTOR, MEDICAL POLICY, Executive , Rancho Cordova, California
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here to apply!
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