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Medical Director, Commercial @ Excellus BlueCross BlueShield

Rochester, New York, United States of AmericaOnsiteFull-time
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About this role

Embrace the opportunity to become a Medical Director, Commercial, and lead utilization management, quality improvement, and policy development for medical services. Leverage your clinical expertise and board certification to drive healthcare outcomes, mentor staff, and ensure compliance. Shape the future of medical management in a dynamic, collaborative environment. Grow your career with us!. Category: Clinical

Skills

utilization managementmedical policy developmentclinical reviewcase managementquality managementncqa standardsmedical coding reviewclinical editingprovider relationsmanaged carestakeholder managementconflict managementdecision makingvalue-based payment programscredentialing

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