Medical Director, Commercial Line of Business
Excellus BCBS(3 months ago)
About this role
The Medical Director provides clinical leadership within the Medical Services function of a health plan, focusing on medical management, policy input, and cross-functional collaboration across business lines. The role engages with internal committees and external provider communities to support organizational strategy and clinical standards. Occasional evening work and regional travel are required for meetings and coverage.
Required Skills
- Utilization Management
- Case Management
- Medical Policy
- Clinical Review
- Peer Review
- Quality Management
- Provider Relations
- Clinical Editing
Qualifications
- MD or DO
- Board Certification
- Unrestricted Medical License
About Excellus BCBS
excellusbcbs.comOfficial site of Excellus BCBS, a trusted health insurance plan for over 85 years. Shop for affordable health plans including Medicare, medical, dental, vision, and employer plans.
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