Senior Medical Director, Health Plan & Clinical Policy

Blue Cross and Blue Shield of Louisiana Inc. seeks a Medical Director to oversee treatment procedures and ensure compliance with established guidelines. This role includes responsibilities for utilization management, case management, and disease management. Qualified candidates must possess an M.D. or D.O. degree and have 7 years of clinical experience, including at least 3 years in patient care. Board certification in psychiatry is required, along with strong communication and interpersonal skills. Preferred candidates will also have experience with Medicare Advantage and external accreditation bodies. #J-18808-Ljbffr