BCBS Global Solutions
Senior Medical Director
Lead physician-led case and utilization management across all lines of business while defining and executing medical and clinical strategies that introduce personalized care models and digital health innovations. Develop clinical programs, governance frameworks, and policies, collaborate across departments to drive enterprise-wide transformation, and conduct clinical reviews for services requiring prior authorization and medical necessity.
Key Responsibilities
- • Direct physician-led case and utilization management across all lines of business.
- • Define and execute our medical and clinical strategy, introducing personalized care models and digital health innovations that put our customers first.
- • Develop forward-thinking clinical programs, governance frameworks, and policies that shape the future of global care.
- • Partner across network development, product design, planning, and sales to drive enterprise-wide transformation.
- • Conduct clinical reviews for inpatient and outpatient services requiring prior authorization and medical necessity.
- • Cultivate and support relationships with key healthcare providers, telemedicine and assistance vendors, and regulatory agencies to enhance service delivery.
- • Lead initiatives that improve the member experience by leveraging BCBS Global Solutions capabilities within diverse health systems in both developed and developing countries.
- • Identify and promote thought leadership in the international health care arena by engaging in industry forums, publishing white papers, and representing BCBS Global Solutions at global health conferences.
Required
- • 7+ years of post-residency clinical practice.
- • US Board Certification.
- • Expertise in multi-country health delivery systems and clinical governance.
- • Proven experience with digitally delivered healthcare.
- • Strategic mindset with a passion for innovation and leadership.
Benefits & Perks
- • Work with a mission-driven team that’s transforming global health.
- • Influence the future of digital healthcare and international medical assistance.
- • Collaborate with world-class professionals in a dynamic, inclusive culture.
- • Enjoy flexibility, autonomy, and the opportunity to make a global impact.
- • We’re bringing humanity to healthcare—creating inclusive environments, personalized experiences and going above and beyond in the moments that matter most.
At Blue Cross Blue Shield Global Solutions SM (BCBS Global Solutions SM ), we make it easy for people and organizations to access and pay for healthcare abroad. By combining digital innovation with human-centered care, we go above and beyond for our customers and deliver an international healthcare experience that’s simple, efficient, and human. Whether our customers live, work, travel, or study abroad, we give them the confidence and peace of mind to embrace every journey and say “yes” to new possibilities.
We are looking for a visionary Senior Medical Director to lead our health care delivery and clinical strategy and ensuring quality access to care with personalized experiences in the moments that matter the most.
What You’ll Do
We are looking for a visionary Senior Medical Director to lead our health care delivery and clinical strategy and ensuring quality access to care with personalized experiences in the moments that matter the most.
What You’ll Do
- Lead with Purpose: Direct physician-led case and utilization management across all lines of business.
- Innovate with Impact: Define and execute our medical and clinical strategy, introducing personalized care models and digital health innovations that put our customers first.
- Build and Govern: Develop forward-thinking clinical programs, governance frameworks, and policies that shape the future of global care.
- Collaborate Strategically: Partner across network development, product design, planning, and sales to drive enterprise-wide transformation.
- Review with Precision: Conduct clinical reviews for inpatient and outpatient services requiring prior authorization and medical necessity.
- Strengthen Partnerships: Cultivate and support relationships with key healthcare providers, telemedicine and assistance vendors, and regulatory agencies to enhance service delivery.
- Champion Global Health: Lead initiatives that improve the member experience by leveraging BCBS Global Solutions capabilities within diverse health systems in both developed and developing countries.
- Promote Thought Leadership: Identify and promote thought leadership in the international health care arena by engaging in industry forums, publishing white papers, and representing BCBS Global Solutions at global health conferences.
- 7+ years of post-residency clinical practice.
- US Board Certification.
- Expertise in multi-country health delivery systems and clinical governance.
- Proven experience with digitally delivered healthcare.
- Strategic mindset with a passion for innovation and leadership.
- Work with a mission-driven team that’s transforming global health.
- Influence the future of digital healthcare and international medical assistance.
- Collaborate with world-class professionals in a dynamic, inclusive culture.
- Enjoy flexibility, autonomy, and the opportunity to make a global impact.
- We’re bringing humanity to healthcare—creating inclusive environments, personalized experiences and going above and beyond in the moments that matter most.
Keep track of your job search
Save personal notes for each job to track your thoughts, application status, and follow-ups.
Try for freeUpload your resume
Sign up to upload your resume and get AI-powered customization for job applications.
Sign up freePractice your interview
Get AI-powered mock interviews tailored to this Senior Medical Director role. Upload your resume and practice with real-time voice feedback.
Sign up to practice