Sr. Medical Director & Associate CMO

With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust.

Detroit, MI

Blue Cross Blue Shield of Michigan

When you think of <a href="" target="_blank" rel="noopener noreferrer">Blue Cross Blue Shield of Michigan</a> for health insurance, you can know you&rsquo;re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future.&nbsp;<br /><br />We offer:<br />Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyle<br />The largest network of doctors and hospitals in the state<br />Lower health care costs Higher quality health care<br />Award-winning diversity practices<br />Grants and programs that promote better health throughout Michigan<br /><strong><br />Mission:&nbsp;</strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><a href="" target="_blank" rel="noopener noreferrer"><strong>Click here</strong></a> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.<br /><br />For Application Timeline &amp; Selection Process:&nbsp;<a href="" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions.

keywords: position summary,leadership,medical,develop,program,maintenance,license,skills,experience,certification,knowledge


Competitive Total Compensation Package

Overview: Responsible for providing leadership and broad strategic direction for various clinical and strategic areas / functions. Responsible for establishing and operationalizing member and provider facing strategies that drive quality and affordability outcomes within the Office of the Chief Medical Officer and across business units.
Responsibilities: <ul> <li>Provide high level oversight, leadership and direction for multiple clinical and strategic functions, initiatives and / or processes.</li> <li>Develop and refine clinical strategy relating to the member and provider experience; owns provider related initiatives related to care model development &amp; deployment / evolution such as Dual-Special Needs Program (D-SNP).</li> <li>Provide clinical and operational expertise and initiative ownership for Physician Group Incentive Program, Collaborative Quality Initiatives, Blueprint for Affordability risk-based contracting and Care Delivery strategies.</li> <li>Maintain and grow relationships across business units and product lines for the purpose of enabling expanding the clinical footprint across the enterprise.</li> <li>Own relationships with critical professional organizations and agencies throughout the region, such as Michigan State Medical Society and Michigan Department of Health and Human Services.</li> <li>Provide clinical leadership for various quality reporting mechanisms / programs &ndash; such as NCQA HEDIS and Medicare Star ratings &ndash; and ownership for related provider led initiatives and programs.</li> </ul>
Requirements: <ul> <li>Doctorate from an accredited school of medicine (M.D.) or osteopathy (D.O.) required.</li> <li>Ten (10) year's recent clinical experience in area of specialization plus utilization review experience.</li> <li>Current unrestricted state of Michigan doctor of medicine (M.D.) or doctor of osteopathy (D.O.) license.</li> <li>Board certified or board eligible and working towards certification in a specialty approved by the American</li> <li>Board of Medical Specialists or the American Board of Osteopathy.</li> <li>Knowledge of BCBSM, providers, services and facilities.</li> <li>Strong teaching and communication skills.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul>