Medical Director - Client Services and Analytics

Capital Blue Cross•Harrisburg, PA

5d•Hybrid

About The Position

The Medical Director, Client Services and Analytics provides leadership in guiding the clinical sales and marketing strategy and execution for Capital Blue Cross’s Commercial Group lines of business. The role partners with the sales team and current and prospective clients to recommend strategies and solutions, provide guidance, maximize sales outcomes, and communicate Capital’s clinical strategies and solutions. The position is classified as hybrid and requires onsite work Tuesdays and Wednesdays at the company’s Harrisburg, Pennsylvania office. The employee must be able to work more than 40 hours per week. The role requires an MD or DO degree, current unrestricted Pennsylvania licensure as an MD or DO, and a Pennsylvania license to sell Health and Life Insurance—or the ability to obtain that license within 90 days of hire. Continued education is required to maintain the insurance license.

Requirements

MD or DO degree.
Current, unrestricted Pennsylvania license as an MD or DO.
Pennsylvania license to sell Health and Life Insurance, or ability to obtain it within 90 days of hire; continued education is required to maintain the license.
Minimum five years of experience working in a health care delivery system, insurer, or managed care organization.
Five years of clinical experience post-residency, including both inpatient and outpatient care.
Five years of experience in a management or leadership position in the health care industry.
Insurance product sales experience.
Ability to engage and build lasting relationships and collaborations with key clients.
Ability to assess business needs, design and implement programs, and evaluate results.
Ability to explain complex medical terms, theories, and analyses in understandable language.
Knowledge of managed healthcare systems, quality assurance, and improvement.
Strong business acumen, including working knowledge of the changing U.S. payer and provider landscape.
Ability to work more than 40 hours per week.

Responsibilities

Partner with Commercial Group sales teams to educate key clients about the company’s products, programs, strategies, and goals.
Emphasize the company’s medical capabilities as a differentiator from competitors.
Monitor and drive patient and client experience and satisfaction metrics.
Maintain and leverage relationships to drive market growth.
Lead and promote collaboration across disciplines and teams to achieve clinical and business outcomes.
Support clients in interpreting data and provide consultation in developing strategies on their behalf.
Provide strategic direction to Healthcare Delivery for the optimal delivery of program value narratives.
Lead the evolution of Capital’s group clinical data consultation model.
Lead the clinical growth and evolution of the comprehensive stop loss and high cost claimant strategy.