Medical Director, Appeals & Utilization (Hybrid)
Blue Shield of CA
Blue Shield of California seeks a Medical Director, Utilization Management - Appeals and Grievances to lead clinical reviews of member appeals for Medicare and Commercial lines, ensuring timely and compliant determinations. The role reports to the Senior Medical Director of Appeals and Grievances and supports a value-based care strategy in California.
The ideal candidate will possess an MD/DO, an active CA license, 2 years medical leadership and 5+ years direct patient care, with strong policy
#J-18808-LjbffrVacancy posted 1 day ago
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