Medical Director
Blue Cross and Blue Shield of Louisiana
full-time
Posted on:
Location Type: Remote
Location: Louisiana • United States
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Job Level
About the role
- Promote and support the BlueCross and BlueShield of Louisiana (BCBSLA) Mission Statement
- Review treatment procedures and services to ensure that they are within established guidelines or supported by generally accepted medical evidence
- Provide direction to operations as applicable, including utilization activities
- Facilitate all physician and provider committees as needed
- Provide advice on external contractual benefit issues
Requirements
- Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) required
- 7 years of clinical practice experience is required
- 3 years of post graduate experience with direct patient care required; prefer 5 years of experience
- Administrative experience in a health plan and/or a working knowledge of the insurance industry preferred
- Experience with external accreditation bodies; JCAHO, URAC, or NCQA preferred
- Medicare Advantage experience is preferred
- Excellent communication, presentation, interpersonal and human relation skills are required
- Microsoft Office software Word, Excel, Outlook, PowerPoint proficiency required
Benefits
- We take great strides to ensure our employees have the resources to live well
- Be healthy
- Continue learning
- Develop skills
- Grow professionally
- Serve our local communities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical practicedirect patient careadministrative experienceinsurance industry knowledgeexternal accreditationMedicare Advantage
Soft Skills
communication skillspresentation skillsinterpersonal skillshuman relation skills
Certifications
Doctor of Medicine (M.D.)Doctor of Osteopathic Medicine (D.O.)