Medical Director

Horizon Blue Cross Blue Shield of New Jersey

Newark, New Jersey, United States
$214,100 - $297,885; not specified; comprehensive ...
Provider network leadership
Medical management program
Clinical transformation initiatives
The Medical Director will be accountable for providing leadership, direction and daily support for their assigned region of NJ and assigned providers, covering a wide scope of medical management activities

Job Summary

  • The Medical Director will be accountable for providing leadership, direction and daily support for their assigned region of NJ and assigned providers, covering a wide scope of medical management activities.
  • Responsibilities include collaborating with value-based teams, behavioral health, and pharmacy, supporting sales teams, and guiding nurse reviewers on medical review issues.
  • Horizon offers a comprehensive compensation and benefits package, including health benefits, retirement plans, generous PTO, and tuition reimbursement.

Matching Summary

The Medical Director will be accountable for providing leadership, direction and daily support for their assigned region of NJ and assigned providers, covering a wide scope of medical management activities.

Salary

$214,100 - $297,885; Not specified; Comprehensive health benefits, Retirement Plans, Generous PTO, Incentive Plans, Wellness Programs, Paid Volunteer Time Off, Tuition Reimbursement

Skills & Requirements

Must-have

  • Provider network leadership
  • Medical management program
  • Clinical transformation initiatives
  • Provider relations and education
  • Data analysis for performance

Nice-to-have

  • Collaborative relationships
  • Cross-functional team leadership
  • Mission-driven organization
  • Continuous improvement mindset

Key Requirements

  • Board Certification in recognized specialty
  • Current unrestricted MD or DO license
  • 5-7 years Clinical Experience
  • Proficiency with Tableau or similar software
  • NJ License Required
  • No CMS Sanctions

Work Rights

Not specified

Tailored Resume

Cover Letter