HarrisburgRecruiter Since 2001
the smart solution for Harrisburg jobs

Senior Medical Director Government Programs

Company: Capital BlueCross
Location: Harrisburg
Posted on: March 26, 2020

Job Description:

Capital BlueCross is the leading health solutions and insurance company in Central Pennsylvania and the Lehigh Valley. As a partner in the community's health for 80 years, we offer health insurance products, services, and innovative technology solutions that provide peace of mind to consumers and promote health and wellness for our customers.More than a health insurer, the company delivers innovative solutions through a family of diversified businesses that is creating a healthier future and lowering health care costs. Among these solutions are patient-focused care models, leading-edge data analytics, and digital health technologies. Capital BlueCross has an exciting opportunity for an Sr. Medical Director, Government Programs to join our award winning organization.--Proud to be named a Best Places to work in PA, Harrisburg Magazine's Simply the Best, Highest Member Satisfaction J.D. Power Award, and since 2014, Capital BlueCross has scored higher than all health insurance providers publicly measured in the American Customer Satisfaction Index (ACSI).--Please click the following link to see additional awards and information regarding our company http://capbluecross.mediaroom.com/.Each member of our organization--now spanning five generations, knows that there is a person-- a neighbor, a friend, a family member--relying on us to ensure an effortless experience as we deliver on our promises.--Capital BlueCross offers employees excellent pay, bonus opportunities, benefits, health and wellness incentives, opportunities for career advancement and community involvement, and work-life balance.--In return, every member of our workforce plays an important part in something much bigger: working together and making a difference every day to improve the health and well-being of our members and the communities in which they live.If you are looking to make a difference every day in the community for which we live and have the skills and qualifications listed below, we invite you to take the first step in making that difference.--POSITION SUMMARY--Sr. Medical Director position in the Government Programs area is primarily responsible for:Providing clinical leadership and support to our medical value strategy initiatives, collaborating with and providing clinical leadership to Geneia, supporting the sales team in relationships with potential and existing employer group customers, and leading and supporting initiatives that drive quality and HEDIS improvements.Leading efforts to maximize the Medicare CMS STAR rating.--Develop a multi-year strategy in collaboration with organizational stakeholders including Clinical, Accreditation & Compliance, Performance Improvement, Pharmacy, Member Services, Risk, Quality, Network Operations, Revenue Optimization and other business units as necessaryEstablishing the strategic direction for the risk management revenue process, assessment of revenue and cost trends to achieve revenue targets and improve quality of care for members.--The position drives the coordination with multiple stakeholders to implement and execute on the strategic direction and optimize revenue management capabilities.------JOB REQUIREMENTSMD or DO Degree, as well as current Board Certification.Current unrestricted MD or DO license in Pennsylvania.Currently covered by, or eligible to be covered by, medical liability insurance.8 years' experience in healthcare with an emphasis on analysis and process optimization.5 years' clinical experience, post residency, including both inpatient and outpatient care.5 years' experience in a management or leadership position in the health care industry.Knowledge of current and emerging medical trends, especially around value based reimbursement and population healthKnowledge of and prior involvement with complex and unique issues within the healthcare industryAbility to effectively multi-task under pressure, meet deadlines, and deliver high quality work.Ability to move from broad strategic perspective to tactical implementation and translate thoughts into actionable plans.Demonstrated excellent public speaking and written communication skills; experience in creating and presenting oral and written proposals and presentations.This position requires the signing of a Non-Disclosure, Non-Solicitation and Non-Competition Agreement.Our innovative Capital Blue Health and Wellness Centers located in Enola and Center Valley provide in-person service and inspiration to help people reach their health goals. Each one is open to the public and includes a fitness studio, Healthy You Caf-- and on-site care guides skilled in multiple areas, including nutrition and biometrics screening. Capital BlueCross employees can take advantage of the many services offered at Capital Blue at little to no cost.--Capital BlueCross is an independent licensee of the BlueCross BlueShield Association. We are an equal opportunity/affirmative action employer and do not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, gender identity, age, genetic information, physical or mental disability, veteran status, or marital status, or any other status protected by applicable law. Engage with us on LinkedIn, Twitter, Facebook or Instagram.

Keywords: Capital BlueCross, Harrisburg , Senior Medical Director Government Programs, Executive , Harrisburg, Pennsylvania

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


VP Lending Portfolio Management
Description: Obtain deep understanding of financial drivers for the Lending business to optimize performance across the Unsecured Lending productsCollaborate with key stakeholders to drive strategy forward, setting (more...)
Company: Citigroup
Location: Wilmington
Posted on: 04/2/2020

VP Lending Campaign Execution Lead
Description: Partners with internal teams to ensure marketing campaigns are designed and executed flawlessly to meet business goals. Engaged in implementing test strategies, developing campaign schedules, business (more...)
Company: Citigroup
Location: Wilmington
Posted on: 04/2/2020

Asset & Configuration Management Support - TS/SCI Required
Description: Description Job Description:The Intelligence Group of Leidos is seeking a Senior Intelligence Analyst Subject Matter Expert SME on the African Area of Responsibility AOR to support an Intelligence (more...)
Company: Leidos
Location: Chantilly
Posted on: 04/2/2020


Earned Value Management System (EVMS) Implementation Subject Matter Expert (SME)
Description: Description Job Description:Job Description:Leidos has a career opening for am Earned Value Management System EVMS Implementation Subject Matter Expert SME located in Reston, VA.Position Summary:The (more...)
Company: Leidos
Location: Reston
Posted on: 04/2/2020

Data Management/System Architect
Description: Description SAIC is seeking a candidate to serve as the Data ManagementSystem Architect for a customer collaboration network. This architect will maintain current data feeds to the customer collaboration (more...)
Company: SAIC
Location: Chantilly
Posted on: 04/2/2020

US Consumer Retention Analytics VP
Description: Analyze customer behavior patterns and associated profitability and leverage data-driven insights to make customer retention marketing recommendationsIdentify opportunities to maximize revenue and reduce (more...)
Company: Citigroup
Location: Wilmington
Posted on: 04/2/2020

Cyber Security Manager
Description: Description:THE COMPANYFannie Mae provides reliable, large-scale access to affordable mortgage credit in communities across our nation. We are the leading source of funding for housing in America, which (more...)
Company: Fannie Mae
Location: Reston
Posted on: 04/2/2020

Release Manager
Description: Description Job Description:The Network Architect forms an integral part of a Solution team, developing high-level designs for the networking elements and aspects of broad solutions to solve customer (more...)
Company: Leidos
Location: Reston
Posted on: 04/2/2020

Senior Director of Quality and Patient Safety/ Delaware Valley
Description: As one of the nation s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more (more...)
Company: Nemours
Location: Wilmington
Posted on: 04/2/2020

Project Manager
Description: Project Manager Our client is seeking an experienced Project Manager who will be responsible for leading project activities from initiation through production implementation. This person will serve as (more...)
Company: Agile
Location: Reston
Posted on: 04/2/2020

Log In or Create An Account

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Harrisburg RSS job feeds